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Individual

ERIC G HARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2801 FRANCISCAN DR., ST.JOSEPH REGIONAL MEDICAL CENTER, BRYAN, TX 77802
(512) 814-0298
(512) 597-2713
Mailing address
PO BOX 2386, BRAZOS VALLEY PATHOLOGY, ROUND ROCK, TX 78664
(979) 224-6381
(512) 597-2713

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
N2554
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4147
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N2554
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2156507
TX
01
TXB108279
MEDICARE
TX
Enumeration date
02/09/2007
Last updated
10/31/2014
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