Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99221 | TX |
NPI | 1013311414 |
---|---|
Provider Name | Mrs. Julie Hatfield |
First Address | Somerset, TX 78069-4405 |
Second Address | Somerset, TX 78069-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2014 |
Last Update Date | 14/10/2014 |