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Individual

JOHN HAYDEN HOLTZCLAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX 78666-7695
(855) 547-8369
(512) 738-8396
Mailing address
3705 MEDICAL PKWY, STE 320, AUSTIN, TX 78705-1023
(512) 454-0392
(512) 454-1233

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80958
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80958
TEXAS AUDIOLOGIST LICENSE
TX
Enumeration date
07/10/2018
Last updated
04/13/2019
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