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Individual

LUIS H HARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4262
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N2105
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
43166
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200179401
TX
05
200179402
TX
05
200179403
TX
05
200179404
TX
01
75-0818167-022
TRICARE
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-002
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
750818167-044
TRICARE
TX
01
750818167015
TRICARE
TX
01
750818167048
TRICARE
TX
01
751976930005
TRICARE
TX
01
8DU754
BCBS
TX
01
8DU755
BCBS
TX
01
P00718738
RAIL ROAD
TX
01
P00792068
RAIL ROAD
TX
01
P01255063
RAIL ROAD
TX
Enumeration date
01/17/2006
Last updated
01/08/2024
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