Healthcare Provider Details
I. General information
NPI: 1457598419
Provider Name (Legal Business Name): CINDY G. HART, D.C.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2009
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
982 N GARDEN RIDGE BLVD SUITE 170
LEWISVILLE TX
75077-2827
US
IV. Provider business mailing address
982 N GARDEN RIDGE BLVD SUITE 170
LEWISVILLE TX
75077-2827
US
V. Phone/Fax
- Phone: 972-353-3469
- Fax: 972-436-6304
- Phone: 972-353-3469
- Fax: 972-436-6304
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CINDY
G.
HART
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 972-353-3469