Provider Demographics
NPI:1164506010
Name:MINKOWITZ, HAROLD S (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:S
Last Name:MINKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:
Practice Address - Street 1:1500 CITYWEST BLVD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2549
Practice Address - Country:US
Practice Address - Phone:972-233-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3342207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1310856-04Medicaid
8AG245OtherBCBS OF TX
TX131085606Medicaid
TX8K9346OtherBC/BS OF TEXAS
TX131085608Medicaid
TX131085609Medicaid
TX0059CLOtherBC/BS OF TEXAS
TX131085606Medicaid
TX0059CLOtherBC/BS OF TEXAS
TX131085608Medicaid
TXTXB116907Medicare PIN
TX8B7243Medicare PIN