Provider Demographics
NPI:1770515900
Name:FREEMAN, HAROLD PAUL JR (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:PAUL
Last Name:FREEMAN
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:6500 HARRIS PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4136
Practice Address - Country:US
Practice Address - Phone:817-346-3748
Practice Address - Fax:817-263-2615
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL43792085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165834601Medicaid
TX165834603Medicaid
TX165834604Medicaid
TX8R1440OtherBLUE CROSS OF TEXAS
TX165834602Medicaid
TX165834603Medicaid
TX165834604Medicaid
F11439Medicare UPIN
TXP00153354Medicare PIN
TX8C1636Medicare PIN
TXTXB116926Medicare PIN