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NPI Code Detail

MEDICARE: DR. SEAN HATTENBACH M.D.

MEDICARE: DR. SEAN HATTENBACH M.D.
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
1207Q00000XFamily Medicine PhysicianR3098TX

General Provider Information

NPI Number : 1225415359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN HATTENBACH M.D.
Provider Business Mailing Address
First Line : 1110 N SARAH DEWITT DR
Second Line :
City : GONZALES
State : TX
Zip : 78629-3311
Country : US
Telephone Number : 830-672-8502
Fax Number : 830-541-5557
Provider Business Practice Location Address
First Line : 1110 N SARAH DEWITT DR
Second Line :
City : GONZALES
State : TX
Zip : 78629-3311
Country : US
Telephone Number : 830-672-8502
Fax Number : 830-541-5557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 05/11/2026

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Directions to “ DR. SEAN HATTENBACH M.D.” Practice Location

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