Provider Demographics
NPI:1487654737
Name:HARRIS, JAMES M (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1315 ST JOSEPH PKWY STE 1502
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8327
Mailing Address - Country:US
Mailing Address - Phone:713-650-1502
Mailing Address - Fax:713-751-1633
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1502
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8327
Practice Address - Country:US
Practice Address - Phone:713-650-1502
Practice Address - Fax:713-751-1633
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG8161208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122846201Medicaid
TXE17858Medicare UPIN