Provider Demographics
NPI:1598094088
Name:HARLINGEN PHYSICIAN NETWORK, INC,
Entity Type:Organization
Organization Name:HARLINGEN PHYSICIAN NETWORK, INC,
Other - Org Name:ELDO E FREZZA, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:EASTHAM
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:956-389-6565
Mailing Address - Street 1:614 MACO DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8450
Mailing Address - Country:US
Mailing Address - Phone:956-440-9110
Mailing Address - Fax:956-448-9808
Practice Address - Street 1:614 MACO DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8450
Practice Address - Country:US
Practice Address - Phone:956-440-9110
Practice Address - Fax:956-448-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4242208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty