Individual
DR. THEODORE GILL HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, DEPT OF VASCULAR SURGERY, FORT SAM HOUSTON, TX 78234
(210) 916-1174
Mailing address
3551 ROGER BROOKE DR, DEPT OF VASCULAR SURGERY, FORT SAM HOUSTON, TX 78234
(210) 916-1174
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T3098
TX
2086S0129X
Vascular Surgery Physician
Primary
T3098
TX
Other
Enumeration date
06/17/2014
Last updated
07/22/2024
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