Harold B. Eudaly, Jr., Md, Pa

LBN: Harold B. Eudaly, Jr., Md, Pa
Harold B. Eudaly, Jr., Md, 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., Md, 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 C6960 Texas

Profile Details

NPI number 1639314180
LBN Legal business name Harold B. Eudaly, Jr., Md, Pa
DBA Doing business as
Authorized official Eudaly, Harold B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2008
Last updated Dec 12th, 2008 - about 17 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 1639314180 NPPES
Other 1881792026 NP1
Other C6930 NP1
Other 204532929 NP1

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