Provider Demographics
NPI:1508907718
Name:HARP, ERIC G (DO)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:G
Last Name:HARP
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 2386
Mailing Address - Street 2:BRAZOS VALLEY PATHOLOGY
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664
Mailing Address - Country:US
Mailing Address - Phone:979-224-6381
Mailing Address - Fax:512-597-2713
Practice Address - Street 1:2801 FRANCISCAN DR.
Practice Address - Street 2:ST.JOSEPH REGIONAL MEDICAL CENTER
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802
Practice Address - Country:US
Practice Address - Phone:512-814-0298
Practice Address - Fax:512-597-2713
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2014-10-31
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Provider Licenses
StateLicense IDTaxonomies
TXN2554207ZC0500X, 207ZP0102X
OK4147207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB108279OtherMEDICARE
TX2156507Medicaid