Harville, Lacy Edward
Harville, Lacy Edward is an individual health care provider with primary practice located at 8300 Floyd Curl Dr # Drive4G , San Antonio TX 78229-3931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Harville, Lacy Edward can be contacted via phone (210) 450-0999.Contact Information
Primary practice address
8300 Floyd Curl Dr # Drive4G
San Antonio TX 78229-3931
Phone: (210) 450-0999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | H1284 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 32471 | Oklahoma |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | H1284 | Texas |
Profile Details
| NPI number | 1871577239 |
|---|---|
| LBN Legal business name | Harville, Lacy Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Apr 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871577239 | NPPES |
| Oklahoma | MEDICAID | 200661790A | |
| Oklahoma | Other | 198459 | |
| Oklahoma | MEDICAID | 3068323 |
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