Mary Jo Hart is a Physician Assistant in Austin, Texas. Mary Jo Hart practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Jo Hart is 1760485932. The last update date is 2017-06-14.
Mary Jo Hart's current location address is 2501 W William Cannon Dr, Austin, Texas. You can contact this provider via phone number 5124167246 and fax number 5122752833. The mailing address for Mary Jo Hart is 2501 W William Cannon Dr, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Hart |
|---|---|
| Address | 2501 W William Cannon Dr, Austin, Texas |
| Phone Number | 5124167246 |
| Fax Number | 5122752833 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760485932 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2017-06-14 |
Provider Mailing Address Detail
| Address | 2501 W William Cannon Dr |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 7874552530 |
| Phone Number | 5124167246 |
| Fax Number | 5122752833 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03126 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 194811901 | TX | -- | |
| 194811902 | TX | -- |
Post Comment/ Review Below
What is the Mary Jo Hart's 1760485932?
The Mary Jo Hart's NPI (National Provider Identifier) Number is 1760485932. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Jo Hart?
The Mary Jo Hart is physically situated at 2501 W William Cannon Dr, in the city of Austin, state of TX, with the postal code 7874552530.
What is the Mary Jo Hart's specialty and taxonomy code?
The Mary Jo Hart's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760485932 to Mary Jo Hart?
The Mary Jo Hart received its 1760485932 assignment from the Centers for Medicare & Medicaid Services on 2005-05-23.
When was the information pertaining to Mary Jo Hart most recently updated or revised?
The details related to Mary Jo Hart, including its address, specialty, and other relevant information, were last updated or revised on 2017-06-14.
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