Individual
TINA H HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 454-0392
Mailing address
3705 MEDICAL PKWY, SUITE 320, AUSTIN, TX 78705-1019
(512) 454-0392
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51686
TX
237600000X
Audiologist-Hearing Aid Fitter
51686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284042301
—
TX
05
—
284042302
—
TX
Enumeration date
08/20/2008
Last updated
12/07/2011
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