Provider Demographics
NPI:1710951553
Name:URORAD HEALTHCARE LP
Entity Type:Organization
Organization Name:URORAD HEALTHCARE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARALSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-682-9894
Mailing Address - Street 1:3837 N 10TH STREET
Mailing Address - Street 2:SUITE 305
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1749
Mailing Address - Country:US
Mailing Address - Phone:956-682-9894
Mailing Address - Fax:956-682-9275
Practice Address - Street 1:19747 HIGHWAY 59 N
Practice Address - Street 2:SUITE 320
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-3576
Practice Address - Country:US
Practice Address - Phone:281-548-0095
Practice Address - Fax:281-548-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1744799-02Medicaid
TX1744799-02Medicaid