Individual
THOMAS HATESOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2525 MARKET PL, SALINA, KS 67401-7609
(636) 200-4393
Mailing address
PO BOX 207293, DALLAS, TX 75320-7293
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2101
KS
Other
Enumeration date
07/23/2019
Last updated
07/24/2019
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