Jack Richard Harris in Tyler - Allergy & Immunology
Jack Richard Harris - NPI 1467445452
Jack Richard Harris is a Allergy & Immunology in Tyler, Texas. Jack Richard Harris practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Jack Richard Harris is 1467445452. The last update date is 2023-10-31.
Jack Richard Harris's current location address is 1128 Medical Dr, Tyler, Texas. You can contact this provider via phone number 9035938273 and fax number 9035950204. The mailing address for Jack Richard Harris is 1128 Medical Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Richard Harris |
|---|---|
| Address | 1128 Medical Dr, Tyler, Texas |
| Phone Number | 9035938273 |
| Fax Number | 9035950204 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467445452 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2023-10-31 |
Provider Mailing Address Detail
| Address | 1128 Medical Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012109 |
| Phone Number | 9035938273 |
| Fax Number | 9035950204 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | G1425 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1467445452 | TX | -- | |
| 569909ZPF | TX | MEDICARE PTAN |
Post Comment/ Review Below
What is the Jack Richard Harris's 1467445452?
The Jack Richard Harris's NPI (National Provider Identifier) Number is 1467445452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack Richard Harris is located?
The Jack Richard Harris is situated at the following address: 1128 Medical Dr, Tyler, TX, 757012109.
What is the Jack Richard Harris's area of specialization and corresponding taxonomy classification?
The Jack Richard Harris's specialty field is Allergy & Immunology, and it falls under the taxonomy code 207K00000X, which categorizes healthcare providers based on their specialties.
When did the Jack Richard Harris receive its 1467445452?
The Jack Richard Harris was issued its 1467445452 on 2005-08-25, which is the date when the organization was assigned this unique identifier.
When was the information related to Jack Richard Harris most recently updated or refreshed?
The details pertaining to the Jack Richard Harris, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-31.