Hartley, Mary Kay

Hartley, Mary Kay is an individual health care provider with primary practice located at 4375 Booth Calloway Ste 307, North Richland Hills TX 76180-8362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hartley, Mary Kay can be contacted via phone (817) 284-4343.

Contact Information

Primary practice address
4375 Booth Calloway Ste 307 North Richland Hills TX 76180-8362
Phone: (817) 284-4343
Fax: (817) 590-4393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 515399 Texas

Profile Details

NPI number 1437151982
LBN Legal business name Hartley, Mary Kay
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437151982 NPPES
Texas MEDICAID 192926701

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