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Individual

DR. JOHN ROBERT HYATT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3116 STONEHENGE DR, RICHARDSON, TX 75082-4064
(214) 801-3751
Mailing address
3116 STONEHENGE DR, RICHARDSON, TX 75082-4064
(214) 801-3751

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H6856
TX
207RG0100X
Gastroenterology Physician
13620
WI
207RG0100X
Gastroenterology Physician
Primary
H6856
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1026320-01
TX
05
1026320-03
TX
01
87197S
BCBS
TX
Enumeration date
07/07/2006
Last updated
07/29/2025
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