Healthcare Provider Details

I. General information

NPI: 1881076891
Provider Name (Legal Business Name): PRESTON HARMON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N US HIGHWAY 75 STE 100
SHERMAN TX
75090-2838
US

IV. Provider business mailing address

7668 ELDORADO PKWY STE 300
MCKINNEY TX
75070-5753
US

V. Phone/Fax

Practice location:
  • Phone: 214-817-4225
  • Fax: 972-674-2788
Mailing address:
  • Phone: 214-817-4225
  • Fax: 972-674-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35.134144
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number94-08768
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberS2793
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: