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NPI Code Detail

MEDICARE: BARRY L HARRELL MD PA

MEDICARE: BARRY L HARRELL MD PA
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
1174400000XSpecialistD6024TX

General Provider Information

NPI Number : 1497705214
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY L HARRELL MD PA
Provider Business Mailing Address
First Line : PO BOX 7749
Second Line :
City : HOUSTON
State : TX
Zip : 77270-7749
Country : US
Telephone Number : 713-869-3000
Fax Number : 713-864-5577
Provider Business Practice Location Address
First Line : 2120 ASHLAND ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-2418
Country : US
Telephone Number : 713-864-2659
Fax Number : 713-864-5577
Authorized Official
Title or Position : DOCTOR
Name : DR. BARRY L HARRELL
Credential : MD
Telephone Number : 713-864-2659
Provider Enumeration Date : 05/11/2006
Last Update Date : 11/07/2007

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Directions to “BARRY L HARRELL MD PA ” Practice Location

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