Provider Demographics
NPI:1063482248
Name:HARKINS, PATRICIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:M
Last Name:HARKINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4093 DE ZAVALA RD
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2066
Mailing Address - Country:US
Mailing Address - Phone:210-692-3439
Mailing Address - Fax:210-493-3444
Practice Address - Street 1:4093 DE ZAVALA RD
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78249-2066
Practice Address - Country:US
Practice Address - Phone:210-692-3439
Practice Address - Fax:210-493-3444
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2008-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL44252080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF69244Medicare UPIN