MEDICARE: VINCENT HARRIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	J1682	TX

General Provider Information

NPI Number	:	1336298256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT HARRIS MD

Provider Business Mailing Address
First Line	:	1010 W BAKER RD
Second Line	:	STE 101
City	:	BAYTOWN
State	:	TX
Zip	:	77521-2382
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 W BAKER RD
Second Line	:	STE 101
City	:	BAYTOWN
State	:	TX
Zip	:	77521-2382
Country	:	US
Telephone Number	:	281-427-5555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/01/2007

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Directions to “ VINCENT HARRIS MD” Practice Location

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