NPIMap

Organization Active NPI

S Robert Harla DO PA

Doing business as S Robert Harla DO

  • Dermatology Physician
  • Grapevine, TX
National Provider Identifier
1902024060
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J2053 Issued in TX
Legal business name
S ROBERT HARLA DO PA
Doing business as
S Robert Harla DO
Practice address
2321 Ira E Woods Ave
Suite 180
Grapevine, TX 76051-8632
Phone
(817) 329-2263
Fax
(817) 329-3793
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. S Robert Harla, D.O.NPI 1740250695
Title
President- Owner
Phone
(817) 329-1873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X J2053 TX Primary

Addresses

Primary practice location

2321 Ira E Woods Ave
Suite 180
Grapevine, TX 76051-8632

Mailing address

2321 Ira E Woods Ave
Suite 180
Grapevine, TX 76051-8632
Phone (817) 329-2263

Other identifiers 1

IdentifierTypeStateIssuer
0058QNOtherTXBCBS GROUP NUMBER

Other names 1

  • S ROBERT HARLA DO Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1902024060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 IRA E WOODS AVE",
            "address_2": "SUITE 180",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518632",
            "telephone_number": "817-329-2263",
            "fax_number": "817-329-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 IRA E WOODS AVE",
            "address_2": "SUITE 180",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518632",
            "telephone_number": "817-329-2263",
            "fax_number": "817-329-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S ROBERT HARLA DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "HARLA",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT- OWNER",
        "authorized_official_telephone_number": "817-329-1873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J2053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0058QN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S ROBERT HARLA DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.