Individual
TYLER HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
2501 S W S YOUNG DR STE 106, KILLEEN, TX 76542-2004
(254) 213-2277
(806) 785-4327
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
(806) 785-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81389
TX
237600000X
Audiologist-Hearing Aid Fitter
81389
TX
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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