Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 10372 | TX |
NPI | 1255444758 |
---|---|
Provider Name | Dr. Joseph Richard Hartman |
First Address | Brentwood, TN 37027-5274 |
Second Address | Brentwood, TN 37027-5274 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000 | OUT OF NETWORK (01) | FL |