Individual
BLAKE D HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 MAPLE AVE. STE 108, METHODIST MEDICAL GROUP SW, DALLAS, TX 75219
(214) 526-3566
(214) 947-8580
Mailing address
3629 FAIRMOUNT ST, DALLAS, TX 75219-4710
(214) 526-3566
(214) 522-8619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7018
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2015
Last updated
08/24/2021
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