Provider Demographics
NPI:1093750457
Name:HAROLD K. MCFARLING, D.O., P.C.
Entity Type:Organization
Organization Name:HAROLD K. MCFARLING, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCFARLING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:505-326-1922
Mailing Address - Street 1:503 N AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-2606
Mailing Address - Country:US
Mailing Address - Phone:505-326-1922
Mailing Address - Fax:505-327-4239
Practice Address - Street 1:503 N AUBURN AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2606
Practice Address - Country:US
Practice Address - Phone:505-326-1922
Practice Address - Fax:505-327-4239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-871-88305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM41228Medicaid
NM41228Medicaid
NMC94592Medicare UPIN