Individual
MARC M. DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229-3931
(210) 450-9300
(210) 450-6023
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-6023
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K1807
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
K1807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0389819-02
—
TX
05
—
0389819-03
—
TX
05
—
038981904
—
TX
01
—
038981905
CSHCN
TX
01
—
8K0250
BC/BS
TX
Enumeration date
06/02/2005
Last updated
10/17/2018
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