Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2001-44 | NM |
N | 207X00000X | Orthopaedic Surgeon | K4454 | TX |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 2001-44 | NM |
N | 207XS0117X | Orthopaedic Spine Surgeon | K4454 | TX |
N | 207XX0801X | Orthopaedic Trauma Surgeon | K4454 | TX |
NPI | 1619937448 |
---|---|
Provider Name | George D. Harrington |
First Address | Las Cruces, NM 88011-4907 |
Second Address | Las Cruces, NM 88011-4907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 31/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A8301 | (05) | NM |
141674501 | (05) | TX |
900522525 | MEDICARE GROUP (01) | NM |
F62313 | (02) | TX |