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NPI Code Detail

MEDICARE: ORAN C HARTWELL PA

MEDICARE:   ORAN C HARTWELL  PA
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
1363AS0400XSurgical Physician AssistantPA02791TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P01074064OTHERTXRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1750463378
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORAN C HARTWELL PA
Provider Business Mailing Address
First Line : PO BOX 2550
Second Line :
City : ROWLETT
State : TX
Zip : 75030-2550
Country : US
Telephone Number : 214-227-2457
Fax Number : 214-764-0880
Provider Business Practice Location Address
First Line : 1803 LOWELL CT
Second Line :
City : KATY
State : TX
Zip : 77494-6100
Country : US
Telephone Number : 281-344-1715
Fax Number : 214-764-0880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 04/07/2021

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Directions to “ ORAN C HARTWELL PA” Practice Location

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