Organization
HARLINGEN BONE & JOINT CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH A KEILLOR (OFFICE MANAGER)
(956) 423-5033
Entity
Organization
Contact information
Practice address
1801 N ED CAREY DR, STE. A, HARLINGEN, TX 78550-8268
(956) 423-5033
(956) 412-3028
Mailing address
1801 N ED CAREY DR, STE. A, HARLINGEN, TX 78550-8268
(956) 423-5033
(956) 412-3028
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D6052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L35B
BCBS OF TX GRP PROV #
TX
05
—
091574601
—
TX
05
—
091574602
—
TX
01
—
129821100
VALLEY HEALTH PLAN PROV #
TX
01
—
200005753
RAILROAD MEDICARE PROV#
TX
01
—
78550A002
TRICARE PROV. #
TX
Enumeration date
10/05/2005
Last updated
11/17/2009
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