Dehart, Mark R

Dehart, Mark R is an individual health care provider with primary practice located at 801 Road To Six Flags W Ste 132 , Arlington TX 76012-2600. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dehart, Mark R can be contacted via phone (817) 795-3030.

Contact Information

Primary practice address
801 Road To Six Flags W Ste 132 Arlington TX 76012-2600
Phone: (817) 795-3030
Fax: (817) 795-3099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1386157790
LBN Legal business name Dehart, Mark R
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 2017 - about 9 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 1386157790 NPPES
Texas Other 12127 TEXAS DEPT OF STATE HEALTH SERVICES

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