Provider Demographics
NPI:1194882142
Name:ADELMAN, HAROLD F (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:F
Last Name:ADELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2749
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-2749
Mailing Address - Country:US
Mailing Address - Phone:512-943-4585
Mailing Address - Fax:512-943-4586
Practice Address - Street 1:3007 DAWN DR STE 106
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2864
Practice Address - Country:US
Practice Address - Phone:512-943-4585
Practice Address - Fax:512-943-4586
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH 39652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098265402Medicaid
TX75-248488075115OtherCHAMPUS
TXF39POtherBCBS
TX00F39PMedicare ID - Type Unspecified
TX098265402Medicaid