Provider Demographics
NPI:1083435101
Name:HATCH, SKYLER CHELSEA
Entity type:Individual
Prefix:
First Name:SKYLER
Middle Name:CHELSEA
Last Name:HATCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 FLOYD CURL DR STE 620
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3936
Mailing Address - Country:US
Mailing Address - Phone:210-212-6202
Mailing Address - Fax:
Practice Address - Street 1:7940 FLOYD CURL DR STE 620
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3936
Practice Address - Country:US
Practice Address - Phone:210-212-6202
Practice Address - Fax:210-874-3649
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172641363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily