Organization Name: | CHIRONET, L.L.C. |
NPI Number: | 1083799209 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VAN A. HARTNITT (PRESIDENT) |
Mailing Address: | 3149 Lackland Rd #104 Fort Worth |
State: | TX US |
Postal Code: | 761164109 |
Phone Number: | 8178868890 |
Fax Number: | 8178868891 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |