Provider Demographics
NPI:1649339870
Name:HATHCOCK, ANN ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:ELIZABETH
Last Name:HATHCOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:601 FALL CREEK HWY
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-7960
Mailing Address - Country:US
Mailing Address - Phone:817-326-3900
Mailing Address - Fax:817-578-8903
Practice Address - Street 1:601 FALL CREEK HWY
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-7960
Practice Address - Country:US
Practice Address - Phone:817-326-3900
Practice Address - Fax:817-578-8903
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2022-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH1869207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine