Individual
HAROLD U EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J6424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018024201
EPSDT
TX
01
—
123073
CHIPS
TX
05
—
135158705
—
TX
05
—
135158710
—
TX
05
—
135158711
—
TX
05
—
135158712
—
TX
01
—
370009031
MEDICARE RAILROAD
TX
01
—
5598227
AETNA
TX
01
—
EV082Z310
BCBS
TX
01
—
TIN PLUS SUFFIX 027
TRICARE
TX
Enumeration date
02/13/2006
Last updated
08/14/2015
Update your record
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