Individual
JOHN C. HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5916 SICILIAN CIR, PLANO, TX 75093-7016
(972) 948-0698
(972) 312-8765
Mailing address
5916 SICILIAN CIR, PLANO, TX 75093-7016
(972) 948-0698
(972) 312-8765
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
627353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149479101
—
TX
Enumeration date
07/15/2005
Last updated
09/30/2011
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