Provider Demographics
NPI:1457345019
Name:ADAMS, HAROLD KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:KENNETH
Last Name:ADAMS
Suffix:
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:PO BOX 3945
Mailing Address - Street 2:DEPT 453
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3945
Mailing Address - Country:US
Mailing Address - Phone:281-358-8114
Mailing Address - Fax:281-358-0609
Practice Address - Street 1:333 N TEXAS AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4966
Practice Address - Country:US
Practice Address - Phone:281-335-1700
Practice Address - Fax:281-335-1708
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9941207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN0095247OtherDPS
TXP00325810OtherRAILROAD MEDICARE
TX8S5680OtherBLUE CROSS/BLUE SHEILD
TX050087487OtherRAILROAD MEDICARE
TX135855809Medicaid
TX8BW912OtherBLUE CROSS/BLUE SHIELD
TXP00232630OtherRAILROAD MEDICARE
TX135855812Medicaid
TX8029B0OtherBLUE CROSS/BLUE SHEILD
TX8029B0OtherBLUE CROSS/BLUE SHEILD
BA3602085OtherDEA
TX8G6903Medicare ID - Type Unspecified
TX8029B0Medicare ID - Type Unspecified
TX8F20683Medicare PIN
TX8F0075Medicare ID - Type Unspecified
TX135855812Medicaid