John E Hartin, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Hereford, TX

NPI 1285600957 · NPPES record last updated Aug 10, 2018

Key facts

NPI
1285600957
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
244688 (TX)
Practice address
540 W 15TH St
Hereford, TX 79045
Phone
(806) 364-2141
Fax
(806) 349-9379
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
244688TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Specialists PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 244688 TX Yes

Addresses

Primary practice location

540 W 15TH St
Hereford, TX 79045

Mailing address

540 W 15TH St
Hereford, TX 79045-2820
Phone (806) 349-9124

Other providers in Hereford, TX

All providers in Hereford, TX · Certified Registered Nurse Anesthetist in Texas

Sources for this page

Verify at the official NPI Registry.