Provider Demographics
NPI:1962461061
Name:HARTLEY, CINDY C (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:C
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 COIT RD
Mailing Address - Street 2:#402
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6174
Mailing Address - Country:US
Mailing Address - Phone:972-612-8829
Mailing Address - Fax:972-612-2875
Practice Address - Street 1:1600 COIT RD
Practice Address - Street 2:#402
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6174
Practice Address - Country:US
Practice Address - Phone:972-612-8829
Practice Address - Fax:972-612-2875
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3892207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138866214Medicaid
TX138866214Medicaid