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General NPI Number Information
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NPI Number | 1215033501
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Entity Type | Individual
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Provider Name | RONALD M HARRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 2319 N MOPAC EXPY STE 100
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City | AUSTIN
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State | TX
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Zip | 78758-2486
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Country | US
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Telephone | 512-837-3376
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4716-355
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City | HOUSTON
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State | TX
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Zip | 44210-4716
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Country | US
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Telephone | 512-837-1984
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 3184291205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 3184291205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number | 3184291205
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License Number State | UT
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