Provider Demographics
NPI:1518274927
Name:HARPER MEDICAL GROUP, PC
Entity Type:Organization
Organization Name:HARPER MEDICAL GROUP, PC
Other - Org Name:DOCTORS EXPRESS OF MEMPHIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-804-0426
Mailing Address - Street 1:5475 POPLAR AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3730
Mailing Address - Country:US
Mailing Address - Phone:901-254-8040
Mailing Address - Fax:901-435-6522
Practice Address - Street 1:5475 POPLAR AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3730
Practice Address - Country:US
Practice Address - Phone:901-254-8040
Practice Address - Fax:901-435-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care