Provider Demographics
NPI:1730395989
Name:MEDICAL EXPERTS OF TEXAS, P.A.
Entity type:Organization
Organization Name:MEDICAL EXPERTS OF TEXAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-434-8000
Mailing Address - Street 1:1165 S STEMMONS FWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-5359
Mailing Address - Country:US
Mailing Address - Phone:972-434-8000
Mailing Address - Fax:972-434-8001
Practice Address - Street 1:1165 S STEMMONS FWY
Practice Address - Street 2:SUITE 108
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-5359
Practice Address - Country:US
Practice Address - Phone:972-434-8000
Practice Address - Fax:972-434-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ149752OtherMEDICARE PTAN FOR ARIZONA-Z149752
TX00W765Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER