| Israel A Hartman M D P A | |
|
501 Rita Ln Ste 113 Arlington TX 76014-2010 | |
| (817) 468-9200 | |
| Not Available |
| Full Name | Israel A Hartman M D P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 Rita Ln Ste 113, Arlington, Texas |
| Authorized Official Name and Position | Rhonda Hill (OFFICE MANAGER) |
| Authorized Official Contact | 8174689200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Israel A Hartman M D P A 501 Rita Ln Ste 113 Arlington TX 76014-2010 Ph: () - | Israel A Hartman M D P A 501 Rita Ln Ste 113 Arlington TX 76014-2010 Ph: (817) 468-9200 |
| NPI Number | 1134300015 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 07/29/2013 |
| Medicare PECOS PAC ID | 4486812344 |
|---|---|
| Medicare Enrollment ID | O20120223000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134300015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J6997 (Texas) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | J6997 (Texas) | Primary |
| Provider Name | Israel A Hartman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437217536 PECOS PAC ID: 4284681289 Enrollment ID: I20050401000360 |
| Provider Name | Liezl C Demiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164905170 PECOS PAC ID: 8527305341 Enrollment ID: I20220614002637 |
| Provider Name | Moza S Faraji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538634035 PECOS PAC ID: 5799024964 Enrollment ID: I20220714003114 |
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