Organization
S ROBERT HARLA DO PA
Active
Organization
S ROBERT HARLA DO PA
Active
Other names
S ROBERT HARLA DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. S ROBERT HARLA D.O. (PRESIDENT- OWNER)
(817) 329-1873
Entity
Organization
Contact information
Practice address
2321 IRA E WOODS AVE, SUITE 180, GRAPEVINE, TX 76051-8632
(817) 329-2263
(817) 329-3793
Mailing address
2321 IRA E WOODS AVE, SUITE 180, GRAPEVINE, TX 76051-8632
(817) 329-2263
(817) 329-3793
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J2053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058QN
BCBS GROUP NUMBER
TX
Enumeration date
04/23/2007
Last updated
01/28/2011
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