Individual
MICHAEL S HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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