Mary Jo Hart, PA-C
Medical Physician Assistant in Georgetown, Texas
NPI 1760485932

Mary Jo Hart is a Medical Physician Assistant based in Austin, TX and is specialized in Medical. Mary Jo Hart practices in Georgetown, TX and has the professional credentials of PA-C. The NPI Number for Mary Jo Hart is 1760485932 and holds a License No. PA03126 (Texas).

The current practice location address for Mary Jo Hart is 3201 S Austin Ave, Georgetown, TX and can be reached out via phone at 512-416-7246 and via fax at512-275-2833. You can also correspond with Mary Jo Hart through the mailing address at 2501 W WILLIAM CANNON DR, AUSTIN, TX - 78745-5253 (mailing address contact number: 512-416-7246).

person
Provider Profile Details
NPI Number
1760485932
Provider Name
Mary Jo Hart
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
3201 S Austin Ave, Georgetown, TX, 78745-5253
Phone Number
512-416-7246
Fax Number
512-275-2833
Provider Enumeration Date
05/23/2005
Last Update Date
06/14/2017
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Provider's Legacy Identifiers
Identifier Type State Issuer
194811901 05 TX
194811902 05 TX
institution
Provider Business Practice Location Address Details
Address
3201 S Austin Ave
City
Georgetown
State
Texas
Zip
78626-7545
Phone Number
512-416-7246
Fax Number
512-275-2833
person
Provider Business Mailing Address Details
Address
2501 W William Cannon Dr
City
Austin
State
Texas
Zip
78745-5253
Phone Number
512-416-7246
Fax Number
512-275-2833
person
Provider's Primary Taxonomy Details
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA03126 (Texas)
Definition
Definition to come...