Individual
CAROL J HEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2535 CHARLOTTE ST, SUITE 102, DENTON, TX 76201-3301
(940) 387-7300
(940) 387-1848
Mailing address
2535 CHARLOTTE ST, SUITE 102, DENTON, TX 76201-3301
(940) 387-7300
(940) 387-1848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
675701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS
—
TX
01
—
TX135420
MEDICARE GROUP PTAN
TX
01
—
TX135423
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
06/11/2006
Last updated
06/26/2024
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