| Dr Richard Hartin Jr, MD | |
|
One St. Mark's Place, St. Mark's Hospital, La Grange, TX 78945-1250 | |
| (979) 242-2333 | |
| (979) 242-5171 |
| Full Name | Dr Richard Hartin Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | One St. Mark's Place, La Grange, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023070687 | NPI | - | NPPES |
| 134102612 | Medicaid | TX | |
| P00375536 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G6524 (Texas) | Secondary |
| 207Q00000X | Family Medicine | G6524 (Texas) | Primary |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Hartin Jr, MD 2777 Owl Creek Rd, La Grange, TX 78945-5449 Ph: (512) 569-8993 | Dr Richard Hartin Jr, MD One St. Mark's Place, St. Mark's Hospital, La Grange, TX 78945-1250 Ph: (979) 242-2333 |
Hans James Raj, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Kinuyo Henderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N. Von Minden, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Amanda Rosenauer, CFNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. Thomas O Borgstedte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Nathan Wallace Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. William M Mcbroom, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. Wess James Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 |