Individual
DUSTY HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
713 E ANDERSON ST, WEATHERFORD, TX 76086-5705
(817) 341-2273
Mailing address
PO BOX 163694, FORT WORTH, TX 76161-3694
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-43503
ID
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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