Provider Demographics
NPI:1235102344
Name:THE HARLINGEN ENDOSCOPY CENTER LP
Entity Type:Organization
Organization Name:THE HARLINGEN ENDOSCOPY CENTER LP
Other - Org Name:VALLEY ENDOSCOPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF GENERAL PARTNER CORP.
Authorized Official - Prefix:MR
Authorized Official - First Name:ORAL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-421-2324
Mailing Address - Street 1:3101 S 77 SUNSHINESTRIP
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8904
Mailing Address - Country:US
Mailing Address - Phone:956-421-2324
Mailing Address - Fax:956-421-5791
Practice Address - Street 1:3101 S 77 SUNSHINESTRIP
Practice Address - Street 2:SUITE B
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8904
Practice Address - Country:US
Practice Address - Phone:956-421-2324
Practice Address - Fax:956-421-5791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007276261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085943102Medicaid
TX490005064OtherRAILROAD MEDICARE
TXASC109Medicare PIN
TX085943102Medicaid