Provider Demographics
NPI:1811185200
Name:KING, HARRY R (MD PA)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:R
Last Name:KING
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2828 BAMMEL LN
Mailing Address - Street 2:SUITE 811
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1148
Mailing Address - Country:US
Mailing Address - Phone:713-201-8234
Mailing Address - Fax:713-774-3498
Practice Address - Street 1:2828 BAMMEL LN
Practice Address - Street 2:SUITE 811
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1148
Practice Address - Country:US
Practice Address - Phone:713-201-8234
Practice Address - Fax:713-774-3498
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9660208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX780000707OtherRAILROAD MEDICARE
TX00H33WMedicare PIN
TX780000707OtherRAILROAD MEDICARE