Hart, Mary Jo

Hart, Mary Jo is an individual health care provider with primary practice located at 3201 S Austin Ave Suite 265, Georgetown TX 78626-7545. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hart, Mary Jo can be contacted via phone (512) 416-7246.

Contact Information

Primary practice address
3201 S Austin Ave Suite 265 Georgetown TX 78626-7545
Phone: (512) 416-7246
Fax: (512) 275-2833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03126 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03126 Texas

Profile Details

NPI number 1760485932
LBN Legal business name Hart, Mary Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jun 14th, 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 1760485932 NPPES
Texas MEDICAID 194811901
Texas MEDICAID 194811902

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