MEDICARE: DART HARD FITNESS INC.

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
1	251K00000X	Public Health or Welfare Agency
2	174H00000X	Health Educator

General Provider Information

NPI Number	:	1427394055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DART HARD FITNESS INC.

Provider Business Mailing Address
First Line	:	1007 STABLE SIDE CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-6409
Country	:	US
Telephone Number	:	281-443-1432
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 STABLE SIDE CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77073-6409
Country	:	US
Telephone Number	:	281-443-1432
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. FELICIA DAVIS
Credential	:	M.S.
Telephone Number	:	281-443-1432

Provider Enumeration Date	:	12/31/2012
Last Update Date	:	12/31/2012

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Directions to “DART HARD FITNESS INC. ” Practice Location

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