Provider Demographics
NPI:1437324480
Name:HARTING, MANDY SUE (MD)
Entity Type:Individual
Prefix:
First Name:MANDY
Middle Name:SUE
Last Name:HARTING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9303 PINECROFT DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3181
Mailing Address - Country:US
Mailing Address - Phone:281-363-5050
Mailing Address - Fax:281-296-2072
Practice Address - Street 1:9303 PINECROFT DR
Practice Address - Street 2:SUITE 150
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3181
Practice Address - Country:US
Practice Address - Phone:281-363-5050
Practice Address - Fax:281-296-2072
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
TXP5987207ND0101X, 207N00000X
MI4301091364207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology