Individual
DR. HARRY T. PAPACONSTANTINOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L7092
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
L7092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U1492
BLUE SHIELD
TX
Enumeration date
03/28/2006
Last updated
10/24/2023
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