Provider Demographics
NPI:1508264219
Name:HARRIMAN, ERIC (CO, LO)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:HARRIMAN
Suffix:
Gender:M
Credentials:CO, LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11155 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5600
Mailing Address - Country:US
Mailing Address - Phone:281-829-4735
Mailing Address - Fax:
Practice Address - Street 1:11155 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5600
Practice Address - Country:US
Practice Address - Phone:281-829-4735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist