Provider Demographics
NPI:1871935551
Name:HATRIDGE, NATHAN THOMAS (OD)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:THOMAS
Last Name:HATRIDGE
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:26321 NORTHWEST FWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5758
Mailing Address - Country:US
Mailing Address - Phone:281-758-0008
Mailing Address - Fax:888-256-6602
Practice Address - Street 1:26321 NORTHWEST FWY
Practice Address - Street 2:SUITE 500
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5758
Practice Address - Country:US
Practice Address - Phone:281-758-0008
Practice Address - Fax:888-256-6602
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2014-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX8240TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist