Hartson, Tyler W
Hartson, Tyler W is an sole proprietor health care provider with primary practice located at 4411 Dacoma St , Houston TX 77092-8611. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hartson, Tyler W can be contacted via phone (713) 686-9194.Contact Information
Primary practice address
4411 Dacoma St
Houston TX 77092-8611
Phone: (713) 686-9194
Fax: (713) 686-9413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 25197 | Texas |
Profile Details
| NPI number | 1780654012 |
|---|---|
| LBN Legal business name | Hartson, Tyler W |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Apr 19th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780654012 | NPPES |
| Texas | MEDICAID | 103741801 | |
| Texas | MEDICAID | 103741802 |
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