Provider Demographics
NPI:1598073546
Name:HARISH K. DHINGRA, M.D., PROFESSIONAL ASSOCIATION
Entity Type:Organization
Organization Name:HARISH K. DHINGRA, M.D., PROFESSIONAL ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:DHINGRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-283-2311
Mailing Address - Street 1:350 WESTPARK WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3737
Mailing Address - Country:US
Mailing Address - Phone:817-283-2311
Mailing Address - Fax:817-267-2571
Practice Address - Street 1:350 WESTPARK WAY STE 203
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3737
Practice Address - Country:US
Practice Address - Phone:817-283-2311
Practice Address - Fax:817-267-2571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB109145Medicare UPIN