Individual
CANDICE HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4665
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1883
MS
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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