Healthcare Provider Details
I. General information
NPI: 1982833406
Provider Name (Legal Business Name): CATHERINE HART MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2009
Last Update Date: 08/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19221 I H 45 S STE 400 SOUTHWOOD TOWER
SHENANDOAH TX
77385-8756
US
IV. Provider business mailing address
19221 I H 45 S STE 400 SOUTHWOOD TOWER
SHENANDOAH TX
77385-8756
US
V. Phone/Fax
- Phone: 832-585-0095
- Fax: 832-585-0088
- Phone: 832-585-0095
- Fax: 832-585-0088
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NORA
CATHERINE
HART
Title or Position: OWNER
Credential: MD
Phone: 832-585-0095