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General NPI Number Information
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NPI Number | 1750606802
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Entity Type | Individual
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Provider Name | TOMMIE T HARRIS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 4491 LONG PRAIRIE RD STE 550
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1795
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Country | US
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Telephone | 214-285-0010
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Fax | 214-285-0026
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Provider Business Mailing Address
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Address Line | 4491 LONG PRAIRIE RD STE 550
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1795
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Country | US
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Telephone | 214-285-0010
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Fax | 214-285-0026
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | T28-2009
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D2274201
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1947
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License Number State | TX
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