Individual
CODY J. HARTSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310B PALUXY ROAD, SUITE 3000, GRANBURY, TX 76048-5655
(817) 578-3910
(817) 578-3909
Mailing address
1310 PALUXY RD STE 3000, GRANBURY, TX 76048-5655
(817) 578-3910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N6346
TX
390200000X
Student in an Organized Health Care Education/Training Program
DR-43940
CO
Other
Enumeration date
01/26/2007
Last updated
09/11/2020
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