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General NPI Number Information
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NPI Number | 1780811158
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Entity Type | Individual
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Provider Name | PAUL C. HARRISON MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 6507 S COOPER ST STE 105
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City | ARLINGTON
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State | TX
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Zip | 76001
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Country | US
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Telephone | 817-466-9100
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Fax | 817-466-9410
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Provider Business Mailing Address
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Address Line | 6507 S COOPER ST STE 105
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City | ARLINGTON
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State | TX
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Zip | 76001-5818
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Country | US
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Telephone | 817-466-9100
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Fax | 817-466-9410
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.31760
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | Q0929
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License Number State | TX
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