Individual
MR. DAVID BYRON HUTSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
302 S CENTRAL ST, HALLSVILLE, TX 75650
(903) 638-3400
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204629412
—
TX
01
—
761714
MEDICARE
TX
01
—
P02178376
MEDICARE RAIL ROAD
TX
Enumeration date
07/01/2009
Last updated
03/26/2019
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