Provider Demographics
NPI:1346452570
Name:ROBERT A. HARRISON CST
Entity Type:Organization
Organization Name:ROBERT A. HARRISON CST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:CST
Authorized Official - Phone:817-485-6845
Mailing Address - Street 1:7120 GREENHILL TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-2726
Mailing Address - Country:US
Mailing Address - Phone:817-485-6805
Mailing Address - Fax:817-335-4663
Practice Address - Street 1:7120 GREENHILL TRL
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-2726
Practice Address - Country:US
Practice Address - Phone:817-485-6805
Practice Address - Fax:817-335-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty