Provider Demographics
NPI:1992829550
Name:HARLINGEN OBSTETRICS & GYNECOLOGY ASSOCIATES, PA
Entity Type:Organization
Organization Name:HARLINGEN OBSTETRICS & GYNECOLOGY ASSOCIATES, PA
Other - Org Name:HARLINGEN OB GYN ASSOCIATES, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-425-4901
Mailing Address - Street 1:2230 HAINE DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8549
Mailing Address - Country:US
Mailing Address - Phone:956-425-4901
Mailing Address - Fax:956-425-4590
Practice Address - Street 1:2230 HAINE DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8549
Practice Address - Country:US
Practice Address - Phone:956-425-4901
Practice Address - Fax:956-425-4590
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-19
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3411207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129251803Medicaid
TX136856504Medicaid
TXCA885504Medicare ID - Type Unspecified
TXT885508Medicare ID - Type Unspecified
TX129251803Medicaid
TXB21669Medicare UPIN