1326001975 NPI number — DR. SHIRLEY FRED HARTLEY D.P.M.

Table of content: DR. SHIRLEY FRED HARTLEY D.P.M. (NPI 1326001975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326001975 NPI number — DR. SHIRLEY FRED HARTLEY D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARTLEY
Provider First Name:
SHIRLEY
Provider Middle Name:
FRED
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARTLEY
Provider Other First Name:
S
Provider Other Middle Name:
F
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.P.M.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1326001975
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 W PASADENA BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DEER PARK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77536-4870
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-479-5311
Provider Business Mailing Address Fax Number:
281-479-0748

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 W PASADENA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEER PARK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77536-4870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-479-5311
Provider Business Practice Location Address Fax Number:
281-479-0748
Provider Enumeration Date:
04/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  0691 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 82J977 . This is a "BC/BS OF TEXAS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 10014888 . This is a "AMERIGROUP NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 4250488 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com