Provider Demographics
NPI:1124084058
Name:HARLINGEN PEDIATRICS ASSOCIATES
Entity type:Organization
Organization Name:HARLINGEN PEDIATRICS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-425-8761
Mailing Address - Street 1:321 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7430
Mailing Address - Country:US
Mailing Address - Phone:956-425-8761
Mailing Address - Fax:956-425-9207
Practice Address - Street 1:321 S 21ST ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7430
Practice Address - Country:US
Practice Address - Phone:956-425-8762
Practice Address - Fax:956-428-7173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208D00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112072701Medicaid
TX112072703Medicaid
TX00RM69OtherBLUECROSS
TX112072704Medicaid