Healthcare Provider Details

I. General information

NPI: 1235371279
Provider Name (Legal Business Name): TAMIA ALISHA HARRIS-TRYON M.D.,PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. TAMIA ALISHA HARRIS

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 07/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 ORLEANS ST JOHNS HOPKINS, DEPT OF DERMATOLOG CRBII-SUITES 209/210
BALTIMORE MD
21231
US

IV. Provider business mailing address

UT SOUTHWESTERN MEDICAL CTR 5323 HARRY HINES BLVD
DALLAS TX
75390-0001
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-8662
  • Fax: 410-955-8645
Mailing address:
  • Phone: 214-648-3493
  • Fax: 214-648-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberQ0928
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: