Individual
TRISTAN MICHAEL HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
300 ROCK CHURCH HWY, TOLAR, TX 76476
(254) 722-0559
Mailing address
165 KELLY DR, WAXAHACHIE, TX 75167-9217
(254) 722-0559
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7604
TX
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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