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NPI Code Detail

MEDICARE: DESIREE A HARRIS MD

MEDICARE: DESIREE A HARRIS MD
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
1208000000XPediatrics PhysicianL0250TX

General Provider Information

NPI Number : 1770663973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE A HARRIS MD
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 682-885-1855
Fax Number : 682-885-1396
Provider Business Practice Location Address
First Line : 3131 S CENTER ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2007
Country : US
Telephone Number : 817-375-1413
Fax Number : 817-261-0013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 05/11/2021

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Directions to “ DESIREE A HARRIS MD” Practice Location

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