Provider Demographics
NPI:1609217819
Name:ROCIO A HARBISON MD PA
Entity Type:Organization
Organization Name:ROCIO A HARBISON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROCIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARBISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-796-9466
Mailing Address - Street 1:7400 FANNIN ST
Mailing Address - Street 2:SUITE 855
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1920
Mailing Address - Country:US
Mailing Address - Phone:713-796-9466
Mailing Address - Fax:713-796-9467
Practice Address - Street 1:7400 FANNIN ST
Practice Address - Street 2:SUITE 855
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1920
Practice Address - Country:US
Practice Address - Phone:713-796-9466
Practice Address - Fax:713-796-9467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207RE0101X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric EndocrinologyGroup - Multi-Specialty