Individual
MATTHEW DAVID HATHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN RN
Contact information
Practice address
690 LONG BRIDGE ST APT 142, SAN FRANCISCO, CA 94158-2395
(817) 240-2129
Mailing address
690 LONG BRIDGE ST APT 142, SAN FRANCISCO, CA 94158-2395
(817) 240-2129
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
846701
TX
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95192399
CA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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