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NPI Code Detail

MEDICARE: HARTMAN COMMUNITY CLINIC PA

MEDICARE: HARTMAN COMMUNITY CLINIC PA
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
1261QR1300XRural Health Clinic/Center

Other Identifiers

General Provider Information

NPI Number : 1932280542
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARTMAN COMMUNITY CLINIC PA
Provider Business Mailing Address
First Line : 4250 FIVE POINTS RD
Second Line : STE 14
City : CORPUS CHRISTI
State : TX
Zip : 78410-4511
Country : US
Telephone Number : 361-241-9600
Fax Number : 361-241-9605
Provider Business Practice Location Address
First Line : 103 S SOUTH ST
Second Line :
City : MATHIS
State : TX
Zip : 78368-2604
Country : US
Telephone Number : 361-547-3203
Fax Number : 361-547-3205
Authorized Official
Title or Position : PRESIDENT
Name : DR. SAMUEL CHRISTIAN HARTMAN
Credential : MD
Telephone Number : 316-241-9600
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/01/2008

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Directions to “HARTMAN COMMUNITY CLINIC PA ” Practice Location

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