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NPI Code Detail

MEDICARE: MRS. MELISSA MARIE HARDT FNP-C

MEDICARE: MRS. MELISSA MARIE HARDT FNP-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
1363LF0000XFamily Nurse PractitionerAP130327TX

General Provider Information

NPI Number : 1740635028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA MARIE HARDT FNP-C
Provider Business Mailing Address
First Line : 4700 W SAM HOUSTON PKWY N
Second Line : STE 220
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Provider Business Practice Location Address
First Line : 11111 KATY FWY STE 910
Second Line :
City : HOUSTON
State : TX
Zip : 77079-2119
Country : US
Telephone Number : 833-460-0292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 06/07/2022

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