Provider Demographics
NPI:1811283237
Name:HATCH
Entity type:Organization
Organization Name:HATCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUEVA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:979-314-7229
Mailing Address - Street 1:506 S EAGLE ST
Mailing Address - Street 2:
Mailing Address - City:WEIMAR
Mailing Address - State:TX
Mailing Address - Zip Code:78962-2902
Mailing Address - Country:US
Mailing Address - Phone:979-314-7229
Mailing Address - Fax:855-839-6442
Practice Address - Street 1:506 S EAGLE ST
Practice Address - Street 2:
Practice Address - City:WEIMAR
Practice Address - State:TX
Practice Address - Zip Code:78962-2902
Practice Address - Country:US
Practice Address - Phone:979-314-7229
Practice Address - Fax:855-839-6442
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUEVA HALLA HATFIELD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-23
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty