Individual
KEITH STUART HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 SOUTH 31ST STREET, TEMPLE, TX 76504-9914
(254) 215-9790
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP141378
TX
Other
Enumeration date
02/08/2019
Last updated
05/09/2019
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