Provider Demographics
NPI:1962076414
Name:MONA EHASZ DO PLLC
Entity type:Organization
Organization Name:MONA EHASZ DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:EHASZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:956-440-7246
Mailing Address - Street 1:2121 PEASE ST STE 305
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8349
Mailing Address - Country:US
Mailing Address - Phone:956-440-7246
Mailing Address - Fax:956-440-9517
Practice Address - Street 1:2121 PEASE ST STE 305
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8349
Practice Address - Country:US
Practice Address - Phone:956-440-7246
Practice Address - Fax:956-440-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GE294OtherBCBS