| S. F. Hartley, D.p.m., P.c. | |
|
112 W Pasadena Blvd, Deer Park, TX 77536-4870 | |
| (281) 479-5311 | |
| (281) 479-0748 |
| Full Name | S. F. Hartley, D.p.m., P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 112 W Pasadena Blvd, Deer Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447442603 | NPI | - | NPPES |
| 82J977 | Other | TX | BC/BS OF TEXAS |
| 00F38E | Other | TX | BC/BS OF TEXAS |
| 82J977 | Other | TX | MEDICARE INDIVIDUAL # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0691 (Texas) | Primary |
| Provider Name | Daren Michael Guertin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013959477 PECOS PAC ID: 8527068717 Enrollment ID: I20070112000071 |
| Provider Name | Shirley Fred Hartley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326001975 PECOS PAC ID: 0446218283 Enrollment ID: I20110120000904 |
| Provider Name | Mohammed Abdur Farooqui |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831570993 PECOS PAC ID: 1850604729 Enrollment ID: I20150721002192 |
| Mailing Address | Practice Location Address |
|---|---|
| S. F. Hartley, D.p.m., P.c. 112 W Pasadena Blvd, Deer Park, TX 77536-4870 Ph: (281) 479-5311 | S. F. Hartley, D.p.m., P.c. 112 W Pasadena Blvd, Deer Park, TX 77536-4870 Ph: (281) 479-5311 |
Daren Michael Guertin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 112 W Pasadena Blvd, Deer Park, TX 77536 Phone: 281-479-5311 Fax: 281-479-0748 | |
Dr. Shirley Fred Hartley, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 112 W Pasadena Blvd, Deer Park, TX 77536 Phone: 281-479-5311 Fax: 281-479-0748 | |
Farooqui And Guertin, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 112 W Pasadena Blvd, Deer Park, TX 77536 Phone: 281-479-5311 Fax: 281-479-0748 | |
Mohammed A Farooqui, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 112 W Pasadena Blvd, Deer Park, TX 77536 Phone: 281-479-5311 Fax: 281-479-0748 |