Individual
MICHAEL MARTIN HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7106 SANGER RD, WACO, TX 76712-3928
(542) 537-1265
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
S8999
TX
207ND0900X
Dermatopathology Physician
S8999
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
05/11/2021
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