Healthcare Provider Details

I. General information

NPI: 1467696021
Provider Name (Legal Business Name): PATRICK HATFIELD, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2009
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 EAGLE MOUNTAIN BLVD
BATESVILLE AR
72501-4232
US

IV. Provider business mailing address

299 EAGLE MOUNTAIN BLVD
BATESVILLE AR
72501-4232
US

V. Phone/Fax

Practice location:
  • Phone: 870-698-9100
  • Fax: 870-698-0161
Mailing address:
  • Phone: 870-698-9100
  • Fax: 870-698-0161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberE0184
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberE0184
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberE0184
License Number StateAR

VIII. Authorized Official

Name: PATRICK M HATFIELD
Title or Position: OWNER
Credential: M.D.
Phone: 870-698-9100