Healthcare Provider Details

I. General information

NPI: 1124084058
Provider Name (Legal Business Name): HARLINGEN PEDIATRICS ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 S 21ST ST
HARLINGEN TX
78550-7430
US

IV. Provider business mailing address

321 S 21ST ST
HARLINGEN TX
78550-7430
US

V. Phone/Fax

Practice location:
  • Phone: 956-425-8762
  • Fax: 956-428-7173
Mailing address:
  • Phone: 956-425-8761
  • Fax: 956-425-9207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: ESMERALDA GARCIA
Title or Position: SUPERVISOR
Credential:
Phone: 956-425-8761