| Doctor Name: | DR. MARTHA LOUISE HARE |
| NPI Number: | 1073603452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DNP, RN, FNP-BC |
| License Number: | 500685 |
| Business Practice Address: | 4001 Highway 36 S Brenham, TX - 778339610 |
| Business Phone Number: | 9792771368 |
| Business Fax Number: | 9792771360 |
| Mailing Address: | 909 Lakeview Lane, SOMERVILLE |
| State: | TX |
| Postal Code: | 77879 |
| Phone Number: | 9795353000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 500685 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |