Individual
KYLE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 HIGHWAY 80, SAN MARCOS, TX 78666-8115
(512) 353-4580
Mailing address
15611 WALNUT CREEK DR, SAN ANTONIO, TX 78247-5549
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
216247
TX
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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