Provider Demographics
NPI:1396817250
Name:HARRIS, STEVEN LEWIS (M D, M SC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEWIS
Last Name:HARRIS
Suffix:
Gender:M
Credentials:M D, M SC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 N. STADIUM DR
Mailing Address - Street 2:HOUSTON DEPARTMENT OF HEALTH & HUMAN SERVICES
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054
Mailing Address - Country:US
Mailing Address - Phone:832-393-5005
Mailing Address - Fax:
Practice Address - Street 1:8000 N STADIUM DR
Practice Address - Street 2:5TH FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1823
Practice Address - Country:US
Practice Address - Phone:832-393-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE-85392083P0901X
CAC-382292083P0901X
FLME00327582083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB108973OtherMEDICARE PTAN
TX1189839-04Medicaid