Basic Information
| Provider Information | |||||||||
| NPI: | 1962014597 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARWARD ENTERPRISES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 561269 | ||||||||
| Address2: | |||||||||
| City: | THE COLONY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750566269 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726687460 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1600 COIT RD | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750756174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726687460 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2020 | ||||||||
| LastUpdateDate: | 08/17/2020 | ||||||||
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| AuthorizedOfficialLastName: | HARWARD | ||||||||
| AuthorizedOfficialFirstName: | LYNNISE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWER | ||||||||
| AuthorizedOfficialTelephone: | 5183653779 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CRNA | ||||||||
| NPICertificationDate: | 08/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.