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NPI Code Detail

MEDICARE: JOHN HYLAND M.D.

MEDICARE:   JOHN  HYLAND  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianD0393TX
2207UN0901XNuclear Cardiology PhysicianD0393TX

Other Identifiers

General Provider Information

NPI Number : 1013981240
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN HYLAND M.D.
Provider Business Mailing Address
First Line : PO BOX 660080
Second Line :
City : DALLAS
State : TX
Zip : 75266-0080
Country : US
Telephone Number : 214-237-6636
Fax Number : 214-237-6529
Provider Business Practice Location Address
First Line : 621 N HALL ST
Second Line : SUITE 400
City : DALLAS
State : TX
Zip : 75226-1339
Country : US
Telephone Number : 214-826-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 11/19/2013

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