Individual
AUSTIN MICHAEL HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4684
(214) 415-7769
Mailing address
1003 SAGEWOOD TRL, SAN MARCOS, TX 78666-2268
(940) 703-9481
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
ATHLETIC TRAINING
TX
Enumeration date
09/03/2018
Last updated
09/03/2018
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