Organization
HARSHI BAINS MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARSHIVINDERJIT SINGH BAINS MD (PRESIDENT)
(903) 597-4644
Entity
Organization
Contact information
Practice address
1201 W GRANDE BLVD, TYLER, TX 75703-6124
(903) 597-4644
(903) 592-8500
Mailing address
1201 W GRANDE BLVD, TYLER, TX 75703-6124
(903) 597-4644
(903) 592-8500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
L6277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00949W
MEDICARE ID
TX
01
—
0094LM
BLUE CROSS BLUE SHIELD
—
05
—
1275644049
—
TX
05
—
159255202
—
TX
05
—
167046501
—
TX
01
—
8P0410
BCBS OF TEXAS
TX
Enumeration date
08/31/2006
Last updated
09/15/2023
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