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Individual

AMBER MARIE HATHCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Contact information

Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4100
Mailing address
30636 PENNY SURF LOOP, WESLEY CHAPEL, FL 33545-2305

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
036.146295
IL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME152148
FL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
P9871
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
P9871
TX

Other

Enumeration date
05/06/2011
Last updated
09/26/2023
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