Harish Koolwal MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

H77771 Issued in TX

Legal business name

HARISH KOOLWAL MD PA

Practice address

214 W Sam Houston Blvd
Suite a
Pharr, TX 78577-5346

Phone

(956) 994-1177

Fax

(956) 283-0647

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harish Koolwal, MDNPI 1730165481

Title

Physician

Phone

(956) 994-1177

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harish Koolwal

  • Cardiovascular Disease Physician
  • Pharr, TX
  • NPI 1730165481
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1811049869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W SAM HOUSTON BLVD",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775346",
            "telephone_number": "956-994-1177",
            "fax_number": "956-283-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W SAM HOUSTON BLVD",
            "address_2": "SUITE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775346",
            "telephone_number": "956-994-1177",
            "fax_number": "956-283-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARISH KOOLWAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "KOOLWAL",
        "authorized_official_first_name": "HARISH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "956-994-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H77771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145516401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "00689R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H-E-B, LP
• Khanh Ha, D.M.D
• Jennifer Hall, PA-C
• Susan Pauline Hall, FNP
• Hamilton County Hospital District
• Harold R Aldape
• Laura Joyce Harris, SLP
• Mohammed Hassan, RPH
• Healing Hands Pediatrics, PLLC
• Healing Innovations Provider Services, LLC

• Cardiovascular Disease Physician in Pharr, TX
• Providers in Pharr, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.