Harville, Lacy Edward

Harville, Lacy Edward is an individual health care provider with primary practice located at 8300 Floyd Curl Dr # Drive4G , San Antonio TX 78229-3931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Harville, Lacy Edward can be contacted via phone (210) 450-0999.

Contact Information

Primary practice address
8300 Floyd Curl Dr # Drive4G San Antonio TX 78229-3931
Phone: (210) 450-0999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H1284 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 32471 Oklahoma
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X H1284 Texas

Profile Details

NPI number 1871577239
LBN Legal business name Harville, Lacy Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Apr 25th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871577239 NPPES
Oklahoma MEDICAID 200661790A
Oklahoma Other 198459
Oklahoma MEDICAID 3068323

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