Provider Demographics
NPI:1356996771
Name:HARTMAN, LAUREN E (PNP-AC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:PNP-AC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:PHILLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1554
Mailing Address - Country:US
Mailing Address - Phone:832-914-2047
Mailing Address - Fax:
Practice Address - Street 1:6410 FANNIN ST STE 340
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3004
Practice Address - Country:US
Practice Address - Phone:832-914-2047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPENDING363LP0200X
TXAP143741363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics