MEDICARE: DON STEWART HARPER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	H2441	TX
2	207P00000X	Emergency Medicine Physician	4502	SD
3	207P00000X	Emergency Medicine Physician	16118	OK

General Provider Information

NPI Number	:	1003870932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DON STEWART HARPER M.D.

Provider Business Mailing Address
First Line	:	810 N LOUISE ST
Second Line	:
City	:	ATLANTA
State	:	TX
Zip	:	75551-1730
Country	:	US
Telephone Number	:	903-799-6896
Fax Number	:

Provider Business Practice Location Address
First Line	:	6451 BRENTWOOD STAIR RD
Second Line	:	SUITE 200
City	:	FORT WORTH
State	:	TX
Zip	:	76112-3200
Country	:	US
Telephone Number	:	817-507-1770
Fax Number	:	817-507-1771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/07/2023

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