Individual
ADAM LUCAS HOTALING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
951 FORTENBERRY RD, DECATUR, TX 76234-5817
(607) 423-3870
Mailing address
951 FORTENBERRY RD, DECATUR, TX 76234-5817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4214
TX
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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