Individual
MICHAEL WILLIAM HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6006 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5620
(817) 984-1026
Mailing address
2360 DEAN WAY, SOUTHLAKE, TX 76092-1379
(817) 527-3470
(817) 527-3497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J8187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111729303
—
TX
Enumeration date
07/03/2006
Last updated
05/03/2024
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