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Organization
SAMUEL C HARTMAN MD PA
Active
Organization
SAMUEL C HARTMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL C HARTMAN MD (PRESIDENT)
(361) 387-3616
Entity
Organization
Contact information
Practice address
13725 NW BLVD, STE 230, CORPUS CHRISTI, TX 78410-5127
(361) 387-3616
Mailing address
13725 NW BLVD, STE 230, CORPUS CHRISTI, TX 78410-5127
(361) 387-3616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027CQ
BLUE CROSS
TX
05
—
122022003
—
TX
Enumeration date
10/21/2008
Last updated
10/21/2008
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