Provider Demographics
NPI:1528160157
Name:HART, CINDY GAIL (DC)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:GAIL
Last Name:HART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 N GARDEN RIDGE BLVD STE 170
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2875
Mailing Address - Country:US
Mailing Address - Phone:972-353-3469
Mailing Address - Fax:972-436-6304
Practice Address - Street 1:982 N GARDEN RIDGE BLVD STE 170
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2875
Practice Address - Country:US
Practice Address - Phone:972-353-3469
Practice Address - Fax:972-436-6304
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU-141-53Medicare UPIN
TX601733Medicare ID - Type Unspecified