=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245556794
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARLYNN H HARTFIEL MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/08/2010
-----------------------------------------------------
Last Update Date | 04/08/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 519 N KING ST STE 103
-----------------------------------------------------
City | SEGUIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78155-4859
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-372-1980
-----------------------------------------------------
Fax | 830-372-2930
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 519 N KING ST STE 103
-----------------------------------------------------
City | SEGUIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78155-4859
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 830-372-1980
-----------------------------------------------------
Fax | 830-372-2930
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ARLYNN H HARTFIEL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 830-372-1980
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | E8540
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------