MEDICARE: ELYSEON

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1902762875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELYSEON

Provider Business Mailing Address
First Line	:	9925 GILLESPIE DR STE 2100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1096
Country	:	US
Telephone Number	:	972-292-9809
Fax Number	:

Provider Business Practice Location Address
First Line	:	9925 GILLESPIE DR STE 2100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-1096
Country	:	US
Telephone Number	:	972-292-9809
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM HARRIS
Credential	:	DO
Telephone Number	:	469-815-3229

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ELYSEON ” Practice Location

Language	Start Address	Practice Location

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