Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 682 | TX |
Y | 213ES0000X | Sports Medicine | 682 | TX |
NPI | 1235892753 |
---|---|
Provider Name | Brady Hoyt |
First Address | Dallas, TX 75226 |
Second Address | Dallas, TX 75246-1776 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2021 |
Last Update Date | 21/10/2021 |