MEDICARE: DR. MELVIN E HARRIS 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	207RH0003X	Hematology & Oncology Physician	D6026	TX

General Provider Information

NPI Number	:	1710196431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELVIN E HARRIS M.D.

Provider Business Mailing Address
First Line	:	16135 PRESTON RD
Second Line	:	130
City	:	DALLAS
State	:	TX
Zip	:	75248-3599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16135 PRESTON RD
Second Line	:	130
City	:	DALLAS
State	:	TX
Zip	:	75248-3599
Country	:	US
Telephone Number	:	214-724-5726
Fax Number	:	972-233-6977

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	07/13/2007

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