# HARDTNER MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801072442
- **Authorized official:** MR. PAUL G MATHEWS (CEO)
- **Authorized official phone:** (318) 495-3131

## Contact information

- **Practice address:** 1102 NORTH PINE RD, OLLA, LA 71465
- **Practice address phone:** (318) 495-3131
- **Mailing address:** 1102 NORTH PINE RD, OLLA, LA 71465
- **Mailing address phone:** (318) 495-3131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 200484 | LA | Yes |

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 01/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1054356 | — | LA |