John C Harre Jr., PHD

Individual provider Active NPI Health Educator · El Paso, TX

NPI 1407214059 · NPPES record last updated May 3, 2016

Key facts

NPI
1407214059
Entity type
Individual (NPI type 1)
Primary specialty
Health Educator 174H00000X
Practice address
4620 Montana Ave
El Paso, TX 79903-4708
Phone
(915) 222-0472
NPI assigned
Feb 10, 2016
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
2Ove1 LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Yes

Addresses

Primary practice location

4620 Montana Ave
El Paso, TX 79903-4708

Mailing address

3116 Tierra Paola
El Paso, TX 79938
Phone (915) 474-9779

Other providers in El Paso, TX

All providers in El Paso, TX · Health Educator in Texas

Sources for this page

Verify at the official NPI Registry.