MEDICARE: DR. TODD EDWARD HATCH D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	6218	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004552196	OTHER	TX	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7378441	OTHER	TX	CIGNA
4	DC6218	OTHER	TX	UHC

General Provider Information

NPI Number	:	1215008743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD EDWARD HATCH D.C.

Provider Business Mailing Address
First Line	:	25300 BOROUGH PARK DR
Second Line	:	SUITE B
City	:	SPRING
State	:	TX
Zip	:	77380-3552
Country	:	US
Telephone Number	:	281-367-0404
Fax Number	:	281-298-5248

Provider Business Practice Location Address
First Line	:	25300 BOROUGH PARK DR
Second Line	:	SUITE B
City	:	SPRING
State	:	TX
Zip	:	77380-3552
Country	:	US
Telephone Number	:	281-367-0404
Fax Number	:	281-298-5248

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/29/2022

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