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Individual

MICHAEL S HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3015 NE LOOP 286, PARIS, TX 75460
(903) 785-5500
Mailing address
PO BOX 100, PARIS, TX 75461-0100
(903) 785-8521
(855) 879-2107

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L1067
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047324108
AMERIGROUP
05
047324108
TX
01
047324109
AMERIGROUP
05
047324109
TX
01
047324110
AMERIGROUP
05
047324110
TX
01
047324111
AMERIGROUP
05
047324111
TX
05
047324112
TX
05
20027100A
OK
Enumeration date
07/10/2006
Last updated
04/15/2026
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