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1104803402
BRENT ANDREW HATHCOCK
DALLAS, TX
NPI
1104803402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 616833)
Enumeration Date
2005-12-28
Last Update Date
2018-06-06
Business Address
Mr. BRENT ANDREW HATHCOCK CRNA
6606 LBJ FWY STE 200
DALLAS, TX 75240
Phone number: 972-715-5000
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Mailing Address
Mr. BRENT ANDREW HATHCOCK CRNA
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-233-1999
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