Provider Demographics
NPI:1245469832
Name:HATIA, FATIMA S (MD)
Entity type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:S
Last Name:HATIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1010 RANCH ROAD 620 S
Mailing Address - Street 2:STE 107
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734
Mailing Address - Country:US
Mailing Address - Phone:512-960-2165
Mailing Address - Fax:512-713-0730
Practice Address - Street 1:1010 RANCH ROAD 620 S
Practice Address - Street 2:STE 107
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734
Practice Address - Country:US
Practice Address - Phone:512-960-2165
Practice Address - Fax:512-713-0730
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2024-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301095217207P00000X, 390200000X
TXR0016207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program