=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164460473
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN F HARPER MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2006
-----------------------------------------------------
Last Update Date | 09/11/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8230 WALNUT HILL LN SUITE 204
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75231-4482
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-345-6000
-----------------------------------------------------
Fax | 214-345-6026
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 975341
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75397-0001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-791-1224
-----------------------------------------------------
Fax | 972-819-0050
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | D9485
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------