Provider Demographics
NPI:1821089145
Name:HATCH, MARK W (MD)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:W
Last Name:HATCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10740 N GESSNER RD STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:800-876-1456
Practice Address - Street 1:7940 FLOYD CURL DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-614-5600
Practice Address - Fax:210-614-8963
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2023-12-13
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Provider Licenses
StateLicense IDTaxonomies
TXG8166207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128286502Medicaid
TXA77036Medicare UPIN