Organization
HARISH KOOLWAL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARISH KOOLWAL MD (PHYSICIAN)
(956) 994-1177
Entity
Organization
Contact information
Practice address
214 W SAM HOUSTON BLVD, SUITE A, PHARR, TX 78577-5346
(956) 994-1177
(956) 283-0647
Mailing address
214 W SAM HOUSTON BLVD, SUITE A, PHARR, TX 78577-5346
(956) 994-1177
(956) 283-0647
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H77771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00689R
BLUE CROSS GROUP
TX
05
—
145516401
—
TX
Enumeration date
01/18/2007
Last updated
01/09/2012
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