Individual
DR. DYLLAN HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DAT, LAT, ATC
Contact information
Practice address
14350 CULEBRA RD, SAN ANTONIO, TX 78253-2222
(210) 867-4448
Mailing address
PO BOX 129, MASON, TX 76856-0129
(210) 867-4448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6652
TX
2255A2300X
Athletic Trainer
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
11/13/2015
Last updated
09/01/2022
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