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HARBOR HEALTH MEDICAL GROUP NPI 1396486619


NPI Information

NPI: 1396486619
Provider Name: HARBOR HEALTH MEDICAL GROUP

Doing Business As: HARBOR HEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2286033

Address:
505 W LOUIS HENNA BLVD STE 100
AUSTIN, TX
ZIP 78728
Phone: (855) 481-8375
Get Directions

HARBOR HEALTH MEDICAL GROUP is a family medicine in Austin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HARBOR HEALTH MEDICAL GROUP NPI is 1396486619. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Harbor Health Medical Group.

The provider's business location address is:

505 W LOUIS HENNA BLVD STE 100
AUSTIN, TX
ZIP 78728-702
Phone: (855) 481-8375

The provider's authorized official is Rhonda Mundhenk .
The authorized official title is Chief Operating Officer and has the following contact phone number (847) 732-3798.

The CLIA number assigned to this NPI record is 45D2286033 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/3/2022 and was last updated on 4/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
62084N0400XPsychiatry & NeurologyNeurologyNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
82084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
9225100000XPhysical TherapistNo
10261QA0005XClinic/CenterAmbulatory Family Planning FacilityNo
11261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
12207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.