Harris, Bryan
Harris, Bryan is an individual health care provider with primary practice located at 3715 21St St , Lubbock TX 79410-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Harris, Bryan can be contacted via phone (806) 795-0610.Contact Information
Primary practice address
3715 21St St
Lubbock TX 79410-1219
Phone: (806) 795-0610
Fax: (806) 795-0602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | K7297 | Texas |
Profile Details
| NPI number | 1174553556 |
|---|---|
| LBN Legal business name | Harris, Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 21st, 2022 - 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 | 1174553556 | NPPES |
| Texas | MEDICAID | 046853001 |
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