Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | M6178 | TX |
NPI | 1003034091 |
---|---|
Provider Name | Dr. Chris C Hart |
First Address | Austin, TX 78748-5610 |
Second Address | Austin, TX 78748-5610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 10/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
M6178 | TEXAS LICENSE (01) | TX |
MD26019 | OREGON LICENSE (01) | OR |