Organization
DALLAS EAR, NOSE & THROAT CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A HARDIN M.D. (DOCTOR)
(214) 821-1809
Entity
Organization
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 560, DALLAS, TX 75231-0806
(214) 821-1809
(214) 827-9037
Mailing address
9301 N CENTRAL EXPY, SUITE 560, DALLAS, TX 75231-0806
(214) 821-1809
(214) 827-9037
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H1440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011DU
BLUE CROSS BLUE SHIELD
TX
05
—
080401501
—
TX
Enumeration date
10/10/2007
Last updated
12/27/2012
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