Provider Demographics
NPI:1003034091
Name:HART, CHRIS C (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:C
Last Name:HART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9805 BRODIE LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5610
Mailing Address - Country:US
Mailing Address - Phone:512-462-1936
Mailing Address - Fax:833-448-3184
Practice Address - Street 1:9805 BRODIE LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5610
Practice Address - Country:US
Practice Address - Phone:512-462-1936
Practice Address - Fax:512-394-9388
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6178207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORMD26019OtherOREGON LICENSE
TXM6178OtherTEXAS LICENSE