Basic Information
| Provider Information | |||||||||
| NPI: | 1790880672 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HATCHER | ||||||||
| FirstName: | ALEXANDER | ||||||||
| MiddleName: | HAMMOND | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1317 BRIAR RIDGE DR | ||||||||
| Address2: | |||||||||
| City: | KELLER | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762488376 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8173122695 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1650 W COLLEGE ST | ||||||||
| Address2: | |||||||||
| City: | GRAPEVINE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760513565 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8173292502 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/14/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | K-2484 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.