Provider Demographics
NPI:1215008743
Name:HATCH, TODD EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:EDWARD
Last Name:HATCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25300 BOROUGH PARK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3552
Mailing Address - Country:US
Mailing Address - Phone:281-367-0404
Mailing Address - Fax:281-298-5248
Practice Address - Street 1:25300 BOROUGH PARK DR
Practice Address - Street 2:SUITE B
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3552
Practice Address - Country:US
Practice Address - Phone:281-367-0404
Practice Address - Fax:281-298-5248
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6218111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0004552196OtherAETNA
TXDC6218Medicaid
TX7378441OtherCIGNA
TXDC6218OtherUHC
TX0004552196OtherAETNA
TXDC6218Medicaid