Provider Demographics
NPI:1306138193
Name:HART, DONNA ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:ROSE
Last Name:HART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:ROSE
Other - Last Name:SADOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 S LAKELINE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2715
Mailing Address - Country:US
Mailing Address - Phone:512-617-3000
Mailing Address - Fax:512-309-7034
Practice Address - Street 1:200 S LAKELINE BLVD STE A
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2715
Practice Address - Country:US
Practice Address - Phone:512-617-3000
Practice Address - Fax:512-572-5179
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3525207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology