Provider Demographics
NPI:1467539221
Name:HARDT, DANNY G
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:G
Last Name:HARDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W PINESHADOWS DR
Mailing Address - Street 2:
Mailing Address - City:SOUR LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:77659-9223
Mailing Address - Country:US
Mailing Address - Phone:409-363-3596
Mailing Address - Fax:
Practice Address - Street 1:5475 HIGHWAY 105
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-3800
Practice Address - Country:US
Practice Address - Phone:409-892-8840
Practice Address - Fax:409-892-2633
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50575237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530253OtherBLUE CROSS BLUE SHIELD