Individual
TAYLOR RYAN HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
3000 WYLIE EAST DR, WYLIE, TX 75098-5701
(972) 429-3150
Mailing address
3000 WYLIE EAST DR, WYLIE, TX 75098-5701
(972) 429-3150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4707
TX
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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