Provider Demographics
NPI:1497001986
Name:EHASZ, MONA (DO)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:EHASZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 PEASE ST STE 305
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8349
Mailing Address - Country:US
Mailing Address - Phone:956-440-7246
Mailing Address - Fax:956-440-9517
Practice Address - Street 1:2121 PEASE ST STE 305
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8349
Practice Address - Country:US
Practice Address - Phone:956-440-7246
Practice Address - Fax:956-440-9517
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO3439207L00000X
OH58.004421207R00000X
TXQ7680208VP0000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine