Hazel Darlene Hathorn, LVN
Individual provider Active NPI Licensed Vocational Nurse · Bishop, TX
NPI 1194206458 · NPPES record last updated Aug 24, 2018
Key facts
- NPI
- 1194206458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 151871 (TX)
- Practice address
- 512 Meadowbrook Rd
Bishop, TX 78343-3103 - Phone
- (361) 226-6198
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151871 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 151871 | TX | Yes |
Addresses
Primary practice location
512 Meadowbrook Rd
Bishop, TX 78343-3103
Mailing address
PO Box 651
Aransas Pass, TX 78335-0651
Phone (361) 226-6198
Other providers in Bishop, TX
- Bishop Cons Isd
- Essential Wellness Place
- Johanna Dee Evans
- Jessica Marie Hernandez
- Tanya P Lawhon
- Robert Lee
- Lorraine Yvette Ramos
- South Texas Provider Home Care , Inc.
All providers in Bishop, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.