Provider Demographics
NPI:1295624104
Name:HATCHER, VICKIE (CPT)
Entity type:Individual
Prefix:
First Name:VICKIE
Middle Name:
Last Name:HATCHER
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 W MOCKINGBIRD LN STE 600W
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6904
Mailing Address - Country:US
Mailing Address - Phone:877-522-3759
Mailing Address - Fax:
Practice Address - Street 1:4167 PLEASANT RUN RD APT A260
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6732
Practice Address - Country:US
Practice Address - Phone:372-371-7839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6E5W2W8246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy