MEDICARE: HAROLD F. ADELMAN MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	H 3965	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	75-248488075115	OTHER	TX	CHAMPUS
3	F39P	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1194882142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD F. ADELMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 2749
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78627-2749
Country	:	US
Telephone Number	:	512-943-4585
Fax Number	:	512-943-4586

Provider Business Practice Location Address
First Line	:	3007 DAWN DR STE 106
Second Line	:
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-2864
Country	:	US
Telephone Number	:	512-943-4585
Fax Number	:	512-943-4586

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	03/24/2015

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