Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley D Hartzog, PA

Individual provider Physician Assistant · NPI 1184643868

Ashley D Hartzog, PA is a Physician Assistant in Southlake, Texas. Qualified in 2005, 21 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3061 W Southlake Blvd Ste 130
Southlake, TX 76092-0314
Phone: (817) 928-3335
Fax: (817) 928-3169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3645 Western Center Blvd, Fort Worth, TX 76137-1944 — (817) 232-9767

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04640 (TX)

Record details

NPI number1184643868
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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