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NPI Code Detail

MEDICARE: ROBERT DOUGLAS HARDY MD

MEDICARE: ROBERT DOUGLAS HARDY MD
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
12080P0208XPediatric Infectious Diseases PhysicianJ6477TX
2207RI0200XInfectious Disease PhysicianJ6477TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588623615
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DOUGLAS HARDY MD
Provider Business Mailing Address
First Line : 3900 JUNIUS ST STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75246-1602
Country : US
Telephone Number : 214-521-5191
Fax Number : 214-528-5879
Provider Business Practice Location Address
First Line : 4922 SPRING AVE
Second Line :
City : DALLAS
State : TX
Zip : 75210-1359
Country : US
Telephone Number : 214-421-4191
Fax Number : 214-421-1119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2006
Last Update Date : 03/09/2023

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