Healthcare Provider Details

I. General information

NPI: 1851571640
Provider Name (Legal Business Name): SABRINA DENISE HARRIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SABRINA DENISE HARRIS M.D.

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 GRIGGS PT
SAN ANTONIO TX
78254-2542
US

IV. Provider business mailing address

34 GRIGGS PT
SAN ANTONIO TX
78254-2542
US

V. Phone/Fax

Practice location:
  • Phone: 210-464-4950
  • Fax:
Mailing address:
  • Phone: 210-464-4950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ2057
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: