Individual
DR. HARSHIVINDERJIT SINGH BAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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) 597-6444
(903) 592-8500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L6277
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
L6277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094LM
BLUE CROSS BLUE SHIELD
TX
01
—
121127
CHIPS
TX
05
—
159255202
—
TX
05
—
167046501
—
TX
01
—
2009370570001
CIGNA
—
01
—
8P0410
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/31/2006
Last updated
09/15/2023
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