Provider Demographics
NPI:1417370982
Name:HARRIS MEDICAL ASSOCIATION PA
Entity Type:Organization
Organization Name:HARRIS MEDICAL ASSOCIATION PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOBIN
Authorized Official - Middle Name:ASLAM
Authorized Official - Last Name:SADIQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-973-5708
Mailing Address - Street 1:11111 KATY FWY
Mailing Address - Street 2:SUITE 910
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2114
Mailing Address - Country:US
Mailing Address - Phone:713-973-5708
Mailing Address - Fax:888-316-9234
Practice Address - Street 1:11111 KATY FWY
Practice Address - Street 2:SUITE 910
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2114
Practice Address - Country:US
Practice Address - Phone:713-973-5708
Practice Address - Fax:888-316-9234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8451208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB 131996Medicare PIN