Provider Demographics
NPI:1124383104
Name:HARIS, MUHAMMAD
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:
Last Name:HARIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 CHULA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-1537
Mailing Address - Country:US
Mailing Address - Phone:512-983-4987
Mailing Address - Fax:
Practice Address - Street 1:2001 CHULA VISTA DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-1537
Practice Address - Country:US
Practice Address - Phone:512-983-4987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280881223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics