Phillip Harwell, D.O.

Individual provider Active NPI Occupational Medicine Physician · Groves, TX

NPI 1346486883 · NPPES record last updated Jan 6, 2009

Key facts

NPI
1346486883
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Medicine Physician 2083X0100X
License
J4848 (TX)
Practice address
3946 Franklin Ave
Groves, TX 77619-3554
Phone
(409) 960-6979
NPI assigned
Jan 6, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
J4848TXMDOccupational Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X J4848 TX Yes

Addresses

Primary practice location

3946 Franklin Ave
Groves, TX 77619-3554

Mailing address

3946 Franklin Ave
Groves, TX 77619-3554
Phone (409) 960-6979

Other providers in Groves, TX

All providers in Groves, TX · Occupational Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.