Hattori, Tomoko

Hattori, Tomoko is an individual health care provider with primary practice located at 12701 Rr 620 N Ste 101 , Austin TX 78750-1141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Hattori, Tomoko can be contacted via phone (512) 593-6022.

Contact Information

Primary practice address
12701 Rr 620 N Ste 101 Austin TX 78750-1141
Fax: (512) 593-9130
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X AP139857 Texas

Profile Details

NPI number 1164087417
LBN Legal business name Hattori, Tomoko
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2019
Last updated May 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164087417 NPPES
Texas Other 903504 RN
Texas Other AP139857 RN

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