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Individual

BARBARA L HARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
(817) 735-5441
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2660
(817) 735-5441

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
255871
TX
363LA2200X
Adult Health Nurse Practitioner
255871
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
255871
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039562601
TX
01
500004552
RAILROAD MEDICARE
TX
01
81N154
BCBS
TX
Enumeration date
04/17/2006
Last updated
02/10/2012
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