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NPI Code Detail

MEDICARE: MRS. PATRICIA ANN HART LCSW

MEDICARE: MRS. PATRICIA ANN HART LCSW
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
11041C0700XClinical Social Worker34484TX

General Provider Information

NPI Number : 1255529541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANN HART LCSW
Provider Business Mailing Address
First Line : 3204 GRANT ST
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-2990
Country : US
Telephone Number : 214-491-1944
Fax Number :
Provider Business Practice Location Address
First Line : 12700 HILLCREST RD STE 249
Second Line :
City : DALLAS
State : TX
Zip : 75230-2068
Country : US
Telephone Number : 972-233-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2007
Last Update Date : 10/11/2007

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