Provider Demographics
NPI:1568516599
Name:HARVIE, DEAN B (PA)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:B
Last Name:HARVIE
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:13830 SAWYER RANCH RD
Mailing Address - Street 2:STE 102
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-5514
Mailing Address - Country:US
Mailing Address - Phone:512-301-6400
Mailing Address - Fax:512-301-6401
Practice Address - Street 1:2400 CEDAR BEND DR
Practice Address - Street 2:EASYCARE CLINIC
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5378
Practice Address - Country:US
Practice Address - Phone:512-901-4031
Practice Address - Fax:512-901-3937
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2016-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05161363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00715821OtherRRMCR
TX186786301Medicaid
TXP00715821OtherRRMCR