Provider Demographics
NPI:1235125824
Name:HATCHETT, JOHN GARNER (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GARNER
Last Name:HATCHETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5920 CROMO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5526
Mailing Address - Country:US
Mailing Address - Phone:915-581-1050
Mailing Address - Fax:915-532-3506
Practice Address - Street 1:5920 CROMO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5526
Practice Address - Country:US
Practice Address - Phone:915-581-1050
Practice Address - Fax:915-532-3506
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2013-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD9811207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB23341Medicare UPIN
TX00N126Medicare ID - Type Unspecified