MEDICARE: JOAN HUGHART CARDIAC CONSULTANTS, PLLC

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	363LF0000X	Family Nurse Practitioner	235459	TX

General Provider Information

NPI Number	:	1528316155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOAN HUGHART CARDIAC CONSULTANTS, PLLC

Provider Business Mailing Address
First Line	:	100 COMMONS RD
Second Line	:	SUITE 7, #334
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4400
Country	:	US
Telephone Number	:	512-858-7971
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 GREYSTONE RD
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-2467
Country	:	US
Telephone Number	:	512-663-8602
Fax Number	:

Authorized Official
Title or Position	:	CEO/ OWNER
Name	:	MRS. JOAN P HUGHART
Credential	:	FNP
Telephone Number	:	512-663-8602

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	08/29/2012

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