Jonathan Hyzak, ATP

NPI #1699261214 in Temple, Texas

Provider Information

NPI Number: 1699261214
Entity Type: Individual
Name: Jonathan Hyzak, ATP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: ATP
Enumeration Date: Jul 6, 2018
Last Updated: Jul 6, 2018

Practice Location

Address: 1103 W ADAMS AVE
City: Temple
State: Texas
ZIP Code: 76504-2443
Phone: (254) 773-1226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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