Provider Demographics
NPI:1609989300
Name:HARLINGEN GASTROENTEROLOGY P A
Entity Type:Organization
Organization Name:HARLINGEN GASTROENTEROLOGY P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ORAL
Authorized Official - Middle Name:COBLEY
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-423-9000
Mailing Address - Street 1:1806 RUNNELS ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8288
Mailing Address - Country:US
Mailing Address - Phone:956-423-9000
Mailing Address - Fax:956-423-6001
Practice Address - Street 1:1806 RUNNELS ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8288
Practice Address - Country:US
Practice Address - Phone:956-423-9000
Practice Address - Fax:956-423-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4985207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1531774-01Medicaid
TX1531774-01Medicaid