Hartono, John Robert

Hartono, John Robert is an individual health care provider with primary practice located at 7150 N President George Bush Hwy Ste 205 , Garland TX 75044-2210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hartono, John Robert can be contacted via phone (972) 276-0139.

Contact Information

Primary practice address
7150 N President George Bush Hwy Ste 205 Garland TX 75044-2210
Phone: (972) 276-0139
Fax: (972) 276-0149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X P0223 Texas

Profile Details

NPI number 1477576965
LBN Legal business name Hartono, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 13th, 2020 - about 6 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 1477576965 NPPES
Texas MEDICAID 285504101
Texas MEDICAID 285504102

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