MEDICARE: HARBOR HEALTH MEDICAL GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207R00000X	Internal Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207V00000X	Obstetrics & Gynecology Physician
5	2084N0400X	Neurology Physician
6	208000000X	Pediatrics Physician
7	2084P0800X	Psychiatry Physician
8	2084P0804X	Child & Adolescent Psychiatry Physician
9	225100000X	Physical Therapist
10	261QA0005X	Ambulatory Family Planning Facility
11	261QF0050X	Non-Surgical Family Planning Clinic/Center
12	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1396486619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR HEALTH MEDICAL GROUP

Provider Business Mailing Address
First Line	:	3908 AVENUE B STE 204
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-4515
Country	:	US
Telephone Number	:	855-481-8375
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N CAPITAL OF TEXAS HWY STE 125
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-3302
Country	:	US
Telephone Number	:	855-481-8375
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	RHONDA MUNDHENK
Credential	:
Telephone Number	:	855-418-8375

Provider Enumeration Date	:	04/03/2022
Last Update Date	:	01/17/2025

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Directions to “HARBOR HEALTH MEDICAL GROUP ” Practice Location

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