Dr Stacey L Hatcher, MD | |
731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 | |
(817) 912-8800 | |
(817) 912-8810 |
Full Name | Dr Stacey L Hatcher |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 731 E Southlake Blvd, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477567238 | NPI | - | NPPES |
046308502 | Medicaid | TX | |
8B5302 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K2485 (Texas) | Primary |
Entity Name | Healthtexas Provider Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
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Dr Stacey L Hatcher, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800 | Dr Stacey L Hatcher, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800 |
Joseph Jasser, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 501 King Ranch Rd, Southlake, TX 76092 Phone: 916-851-2600 | |
Unknown Priyanka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1207 S White Chapel Blvd Ste 275, Southlake, TX 76092 Phone: 682-416-9120 | |
Rina Sarkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 N Kimball Ave, Suite# 110, Southlake, TX 76092 Phone: 817-488-8080 | |
Dr. Azaan Ramani, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 505 S Nolen Dr Ste A, Southlake, TX 76092 Phone: 817-424-1525 Fax: 817-424-3491 | |
Dr. Sharmila Devidoss, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Monte Carlo Dr, Southlake, TX 76092 Phone: 817-733-9367 | |
Raetasha Sheavette Dabney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Ste 470, Southlake, TX 76092 Phone: 214-379-2700 Fax: 972-869-3875 | |
Dr. Jeffrey A Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 505 S Nolen Dr, Southlake, TX 76092 Phone: 817-424-1525 Fax: 817-424-3491 |