Daryl Hausam, MA, LAT

NPI #1013270735 in Killeen, Texas

Provider Information

NPI Number
1013270735
Entity Type
Individual
Name
Daryl Hausam, MA, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MA, LAT
Enumeration Date
Jun 18, 2012
Last Updated
Jun 18, 2012

Practice Location

Address
4501 SUNFLOWER DR
State
Texas
ZIP Code
76542-4608
Phone
(254) 291-6692

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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