Provider Demographics
NPI:1851365258
Name:HARRINGTON, MELVYN AUGUSTUS JR (MD)
Entity Type:Individual
Prefix:
First Name:MELVYN
Middle Name:AUGUSTUS
Last Name:HARRINGTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 MAIN ST
Mailing Address - Street 2:SUITE 1325, BAYLOR COLLEGE OF MEDICINE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2348
Mailing Address - Country:US
Mailing Address - Phone:713-986-5660
Mailing Address - Fax:708-986-5661
Practice Address - Street 1:6620 MAIN ST
Practice Address - Street 2:SUITE 1325, BAYLOR COLLEGE OF MEDICINE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2348
Practice Address - Country:US
Practice Address - Phone:713-986-5660
Practice Address - Fax:708-986-5661
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36100323207XS0114X
TXM6652207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36100323Medicaid
IL559680Medicare ID - Type Unspecified
IL36100323Medicaid
ILL81163Medicare ID - Type Unspecified