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Individual

ROBERT LEE HARDING JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3201 S WATER ST, BURNET, TX 78611-4510
(512) 715-3010
Mailing address
712 MERIDEN LN # B, AUSTIN, TX 78703-4524
(512) 351-8308

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3573
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OS013329
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181159804
TX
05
181159805
TX
05
181159807
TX
05
181159810
TX
01
8AB497
BCBS
TX
01
8AS822
BCBS
TX
01
8K8347
BCBS
TX
01
8S1816
BCBS
TX
01
8V5760
BCBS
TX
01
8X7454
BCBS
TX
Enumeration date
05/04/2006
Last updated
04/10/2008
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