Doctor Name: | REBEKAH L HARTMAN |
NPI Number: | 1104196385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BHRS |
License Number: | |
Business Practice Address: | 715 N 1st Ave Durant, OK - 747013801 |
Business Phone Number: | 5809313008 |
Business Fax Number: | 5809318022 |
Mailing Address: | 805 W Pelton St, SHERMAN |
State: | TX |
Postal Code: | 750922947 |
Phone Number: | 9032724611 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |