Provider Demographics
NPI:1144309279
Name:FARBER, HAROLD J (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:J
Last Name:FARBER
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 1:6701 FANNIN, CC 1040.00
Mailing Address - Street 2:TEXAS CHILDREN'S HOSPITAL, PULMOLNARY MEDICINE SERVICE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-822-3935
Mailing Address - Fax:
Practice Address - Street 1:6701 FANNIN ST, 9TH FLOOR, MC CC 920.01
Practice Address - Street 2:TEXAS CHILDREN'S HOSPITAL CLINICAL CARE CENTER
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-822-3935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG639602080P0214X
TXM66042080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G639600Medicaid
TX8J7529Medicare PIN
TX8J6584Medicare PIN
00G639600Medicare ID - Type Unspecified
CA00G639600Medicaid