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1396719597
MARK D HIATT
TYLER, TX
NPI
1396719597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX L8075)
Enumeration Date
2006-02-14
Last Update Date
2010-03-29
Business Address
-- MARK D HIATT MD
520 DOUGLAS BLVD
TYLER, TX 75702-8307
Phone number: 903-510-1175
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Mailing Address
-- MARK D HIATT MD
PO BOX 5500
TYLER, TX 75712-5500
Phone number: 903-324-6400
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