Individual
HAZEL DARLENE HATHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
512 MEADOWBROOK RD, BISHOP, TX 78343-3103
(361) 226-6198
Mailing address
PO BOX 651, ARANSAS PASS, TX 78335-0651
(361) 226-6198
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
151871
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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