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Individual

JAMES A. HYSLOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8978
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070130
BOARD CERTIFICATION
NC
01
5/16/06 TO 10/1/06
TEMPORARY MEDICAL LICENSE
TX
01
80147149
DPS
TX
Enumeration date
07/22/2006
Last updated
03/07/2023
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