Harold B.Eudaly Jr., M.D.Pa

LBN: Harold B.Eudaly Jr., M.D.Pa
Harold B.Eudaly Jr., M.D.Pa is an health care organization with primary practice located at 6300 Ridglea Pl Suite 814, Fort Worth TX 76116-5704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Harold B.Eudaly Jr., M.D.Pa can be contacted via phone (817) 763-0022, or through Eudaly, Harold B via phone (817) 763-0022.

Contact Information

Primary practice address
6300 Ridglea Pl Suite 814 Fort Worth TX 76116-5704
Phone: (817) 763-0022
Fax: (817) 763-0027
Website:
Map and Directions
Authorized official contact:
Name: Eudaly, Harold B Doctor of Medicine (MD)
Phone: (817) 763-0022

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C6930 Texas

Profile Details

NPI number 1811131758
LBN Legal business name Harold B.Eudaly Jr., M.D.Pa
DBA Doing business as
Authorized official Eudaly, Harold B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2009
Last updated Apr 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811131758 NPPES
Other 1881792026 OLD NPI

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