Provider Demographics
NPI:1568435618
Name:HARLIN, STUART A (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:A
Last Name:HARLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2850
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-486-5100
Mailing Address - Fax:713-486-5145
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2850
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-486-5141
Practice Address - Fax:713-486-5145
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
173000000X
FLME788582086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009933729OtherAL MEDICAID
FL257259100OtherMEDICAID
AL59068261HAROtherBCBS
FL47200OtherBCBS
FL47200AMedicare PIN
AL009933729OtherAL MEDICAID