Individual
MR. JERRY LEE HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 LAWRENCE ST, TOMBALL, TX 77375-3331
(281) 357-1600
(281) 357-1603
Mailing address
602 LAWRENCE ST, TOMBALL, TX 77375-3331
(281) 357-1600
(281) 357-1603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E7626
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E7626
TEXAS MEDICAL ID
—
Enumeration date
02/28/2006
Last updated
07/08/2007
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