Provider Demographics
NPI:1881664340
Name:HARDEE, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:HARDEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 BOAT CLUB RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-7003
Mailing Address - Country:US
Mailing Address - Phone:817-237-0515
Mailing Address - Fax:817-237-4880
Practice Address - Street 1:4504 BOAT CLUB RD
Practice Address - Street 2:SUITE 800
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-7003
Practice Address - Country:US
Practice Address - Phone:817-237-0515
Practice Address - Fax:817-237-8982
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82G716Medicare ID - Type Unspecified
TXC16573Medicare UPIN