Individual
JACOB THOMAS HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3000 MOUNTAIN CREEK PKWY, DALLAS, TX 75211-6700
(707) 477-4864
Mailing address
624 OLD COUNTRY RD, DUNCANVILLE, TX 75137-2032
(707) 477-4864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9902
TX
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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