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NPI Code Detail

MEDICARE: THE HARRIS CENTER FOR MENTAL HEALTH AND IDD

MEDICARE: THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
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
13336C0002XClinic Pharmacy11556TX
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12099575OTHERPK

General Provider Information

NPI Number : 1174530109
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HARRIS CENTER FOR MENTAL HEALTH AND IDD
Provider Business Mailing Address
First Line : 9401 SOUTHWEST FWY STE 101
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1407
Country : US
Telephone Number : 713-970-7635
Fax Number : 713-970-3390
Provider Business Practice Location Address
First Line : 9401 SOUTHWEST FWY STE 101
Second Line :
City : HOUSTON
State : TX
Zip : 77074-1407
Country : US
Telephone Number : 713-970-7635
Fax Number : 713-970-3310
Authorized Official
Title or Position : CEO
Name : WAYNE YOUNG
Credential :
Telephone Number : 713-970-3385
Provider Enumeration Date : 08/02/2006
Last Update Date : 07/25/2024

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Directions to “THE HARRIS CENTER FOR MENTAL HEALTH AND IDD ” Practice Location

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