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James Thomas Harris

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NPI Number Detailed Information

Provider Information:

Name: James Thomas Harris
Gender: M
Provider License Number If Given: 1150471

NPI Information:

NPI: 1891789319
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 8/20/2014

Provider Business Mailing Address:

Address: 3508 FAR WEST BLVD SUITE 240
Austin, TX 78731
Phone Number: 5128329411
Fax Number: 5128329401

Provider Business Practice Location Address:

Address: 3508 FAR WEST BLVD SUITE 240
Austin, TX 78731
Phone Number: 5128329411
Fax Number: 5128329401

Provider Taxonomy:

Primary: 2251X0800X
Secondary (if any):
State: TX

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