Healthcare Provider Details

I. General information

NPI: 1336798289
Provider Name (Legal Business Name): HARTMAN ADVANCED PRACTICE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2019
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1814 ELMWOOD AVENUE TELEMEDICINE OFFICE
HARLINGEN TX
78550-8000
US

IV. Provider business mailing address

1814 ELMWOOD AVENUE TELEMEDICINE OFFICE
HARLINGEN TX
78550-8000
US

V. Phone/Fax

Practice location:
  • Phone: 956-245-8371
  • Fax: 956-231-0798
Mailing address:
  • Phone: 956-245-8371
  • Fax: 956-231-0798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MONICA LYNNE HARTMAN
Title or Position: CEO/OWNER
Credential: APRN, FNP-BC
Phone: 956-245-8371