Individual
MR. CLYDE EDWARD HARTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 W ROSEDALE ST, FORT WORTH, TX 76104-4856
(817) 335-2202
(817) 882-6595
Mailing address
3809 ASHLEY LN, FORT WORTH, TX 76123-1305
(817) 294-8134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00352
TX
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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