Provider Demographics
NPI:1043850530
Name:COMPASSION DENTAL OF HARLINGEN PLLC
Entity Type:Organization
Organization Name:COMPASSION DENTAL OF HARLINGEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-428-4434
Mailing Address - Street 1:2401 N ED CAREY DR STE B
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8207
Mailing Address - Country:US
Mailing Address - Phone:956-778-0217
Mailing Address - Fax:
Practice Address - Street 1:2401 N ED CAREY DR STE B
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8207
Practice Address - Country:US
Practice Address - Phone:956-428-4434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental