Provider Demographics
NPI:1144771056
Name:HARTSOOK, MEGAN (DNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HARTSOOK
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2606 HARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-3700
Mailing Address - Country:US
Mailing Address - Phone:817-540-1500
Mailing Address - Fax:817-571-6900
Practice Address - Street 1:5375 COIT RD # 30
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4910
Practice Address - Country:US
Practice Address - Phone:214-619-1910
Practice Address - Fax:214-619-1913
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX904185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily