MEDICARE: HARMONIC MEDICAL GROUP OF TEXAS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	1041C0700X	Clinical Social Worker
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
4	363LG0600X	Gerontology Nurse Practitioner
5	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1154183085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONIC MEDICAL GROUP OF TEXAS, P.C.

Provider Business Mailing Address
First Line	:	119 S MAIN ST
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-2802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 S MOPAC EXPY STE 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-7683
Country	:	US
Telephone Number	:	862-375-6089
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICE
Name	:	JAMES GERA
Credential	:
Telephone Number	:	314-368-4224

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	05/07/2026

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