Individual
MRS. REBECCA DEEANN HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
701 TUSCAN DR, SUITE 200, IRVING, TX 75039-4133
(972) 401-3200
(972) 401-3230
Mailing address
701 TUSCAN DR, SUITE 200, IRVING, TX 75039-4133
(972) 401-3200
(972) 401-3230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02569
TX
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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