Organization
PETER M HARVEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER M HARVEY DPM (OWNER)
(940) 723-1054
Entity
Organization
Contact information
Practice address
1612 10TH ST, WICHITA FALLS, TX 76301-4307
(940) 723-1054
(940) 723-4646
Mailing address
1612 10TH ST, WICHITA FALLS, TX 76301-4307
(940) 723-1054
(940) 723-4646
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F621
BLUE CROSS BLUE SHIELD
TX
01
—
346
STATE LICENCE NUMBER
TX
Enumeration date
11/28/2007
Last updated
11/28/2007
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