Healthcare Provider Details

I. General information

NPI: 1982735346
Provider Name (Legal Business Name): STEPHEN R. HARRIS, M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 REMCON CIR STE 200
EL PASO TX
79912-1647
US

IV. Provider business mailing address

7300 REMCON CIR STE 200
EL PASO TX
79912-1647
US

V. Phone/Fax

Practice location:
  • Phone: 915-532-3600
  • Fax: 915-532-8999
Mailing address:
  • Phone: 915-532-3600
  • Fax: 915-532-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN R HARRIS
Title or Position: PRESIDENT
Credential: MD
Phone: 915-532-3600