Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | N2105 | TX |
N | 207PE0004X | Emergency Medical Services | 43166 | MN |
NPI | 1093794109 |
---|---|
Provider Name | Luis H Haro |
First Address | Dallas, TX 75284-1656 |
Second Address | Tyler, TX 75701-2036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 13/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200179401 | (05) | TX |
200179402 | (05) | TX |
200179403 | (05) | TX |
200179404 | (05) | TX |
750818167015 | TRICARE (01) | TX |
75-0818167-022 | TRICARE (01) | TX |
750818167-044 | TRICARE (01) | TX |
750818167048 | TRICARE (01) | TX |
751976930005 | TRICARE (01) | TX |
75-2616977-001 | TRICARE (01) | TX |
75-2616977-002 | TRICARE (01) | TX |
75-2616977-028 | TRICARE (01) | TX |
8DU754 | BCBS (01) | TX |
8DU755 | BCBS (01) | TX |
H21534 | (02) | |
P00718738 | RAIL ROAD (01) | TX |
P00792068 | RAIL ROAD (01) | TX |
P01255063 | RAIL ROAD (01) | TX |