Harris, Brent Reavley
Harris, Brent Reavley is an sole proprietor health care provider with primary practice located at 1726 S Beckham Ave , Tyler TX 75701-4435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Harris, Brent Reavley can be contacted via phone (903) 593-0481.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | F6718 | Texas |
Profile Details
| NPI number | 1679580849 |
|---|---|
| LBN Legal business name | Harris, Brent Reavley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Nov 29th, 2007 - about 17 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 | 1679580849 | NPPES |
| Texas | Other | 80P182 | BCBSTX PROVIDER NUMBER |
| Texas | Other | 8U0910 | BCBSTX PROVIDER NUMBER |
Popular Providers
-
Liles, Nathan Daniel
800 E. Dawson Trinity Mother Frances Hospital, Tyler TX 75701 -
Hammett, Malcolm Reid
7001 Gleneagles Dr , Tyler TX 75703-5757 -
Davis, William Grant
800 E. Dawson Trinity Mother Frances Hospital, Tyler TX 75701 -
Kulaga, Andrew D.
1726 S Beckham Ave , Tyler TX 75701-4435 -
Rizvi, Ghousia
800 E Dawson St , Tyler TX 75701-2036 -
Gonzalez, Virgilio V
701 Olympic Plaza Cir , Tyler TX 75701-1950 -
Karo, Ammar
800 E Dawson St , Tyler TX 75701-2036 -
Fagan, Marian Frances
1726 S Beckham Pathology Associates Of Tyler, Tyler TX 75701