Individual
MARGARET HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 921-3431
Mailing address
1400 S MAIN ST, STE 300, FORT WORTH, TX 76104-4909
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00963
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8B7335
MEDICARE
TX
Enumeration date
03/03/2008
Last updated
03/03/2008
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