Provider Demographics
NPI:1922742964
Name:HARKINS, CARL HUNTER
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:HUNTER
Last Name:HARKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1826 SAGE DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-4348
Mailing Address - Country:US
Mailing Address - Phone:214-629-5073
Mailing Address - Fax:972-377-6453
Practice Address - Street 1:1826 SAGE DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-4348
Practice Address - Country:US
Practice Address - Phone:214-629-5073
Practice Address - Fax:972-377-6453
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other