Provider Demographics
NPI:1487833067
Name:HARDY, SARAH (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CIRCLE DR
Mailing Address - Street 2:SUITE 400B
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-8113
Mailing Address - Country:US
Mailing Address - Phone:817-569-4750
Mailing Address - Fax:817-569-4796
Practice Address - Street 1:1300 CIRCLE DR
Practice Address - Street 2:SUITE 400B
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-8113
Practice Address - Country:US
Practice Address - Phone:817-569-4750
Practice Address - Fax:817-569-4796
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN63432084P0800X
NMA-2295-192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CV773OtherBLUECROSS BLUE SHIELD
TX286306001Medicaid
TX286306001Medicaid