Organization
JIMMY B HARKINS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY BLAINE HARKINS MD (PRESIDENT)
(903) 541-5155
Entity
Organization
Contact information
Practice address
501 SOUTH RAGSDALE, JACKSONVILLE, TX 75766
(903) 541-5187
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(903) 541-5155
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100283402
—
TX
Enumeration date
05/20/2006
Last updated
08/05/2008
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