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NPI Code Detail

MEDICARE: PATTYANN A. HARDT, M.D., P.A.

MEDICARE: PATTYANN A. HARDT, M.D., P.A.
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
1207V00000XObstetrics & Gynecology PhysicianM5746TX

General Provider Information

NPI Number : 1932351889
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATTYANN A. HARDT, M.D., P.A.
Provider Business Mailing Address
First Line : 851 W TERRELL AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3161
Country : US
Telephone Number : 817-870-5071
Fax Number : 817-926-4362
Provider Business Practice Location Address
First Line : 851 W TERRELL AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3161
Country : US
Telephone Number : 817-870-5071
Fax Number : 817-926-4362
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. PATTYANN HARDT
Credential : M.D.
Telephone Number : 817-870-5071
Provider Enumeration Date : 10/22/2008
Last Update Date : 10/22/2008

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