Harris, Blake Robert
Harris, Blake Robert is an sole proprietor health care provider with primary practice located at 11010 Domain Dr Apt 11331, Austin TX 78758-7711. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Harris, Blake Robert can be contacted via phone (214) 837-7999.Contact Information
Primary practice address
11010 Domain Dr Apt 11331
Austin TX 78758-7711
Phone: (214) 837-7999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 36688 | Texas |
Profile Details
| NPI number | 1942629035 |
|---|---|
| LBN Legal business name | Harris, Blake Robert |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2014 |
| Last updated | Apr 16th, 2014 - about 11 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.
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