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Individual

MARC M. DEHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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