Provider Demographics
NPI:1407856909
Name:HATFIELD, JAMES A (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:HATFIELD
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 1:1004 E HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-5259
Mailing Address - Country:US
Mailing Address - Phone:361-358-2578
Mailing Address - Fax:361-358-2579
Practice Address - Street 1:1004 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5259
Practice Address - Country:US
Practice Address - Phone:361-358-2578
Practice Address - Fax:361-358-2579
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC4242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX166989701Medicaid
TX601632Medicare ID - Type Unspecified