Individual
DONALD JEREMIAH HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6975 DEER RUN DR, WATAUGA, TX 76137-6730
(817) 201-3828
Mailing address
6975 DEER RUN DR, WATAUGA, TX 76137-6730
(817) 201-3828
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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