Provider Demographics
NPI:1013311414
Name:HATFIELD, JULIE (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7566 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:TX
Mailing Address - Zip Code:78069-4405
Mailing Address - Country:US
Mailing Address - Phone:210-473-2342
Mailing Address - Fax:
Practice Address - Street 1:7566 E 6TH ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:TX
Practice Address - Zip Code:78069-4405
Practice Address - Country:US
Practice Address - Phone:210-473-2342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99221176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife