Provider Demographics
NPI:1578898094
Name:HARRIS, ROBERT ELDRED (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELDRED
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 RED JACKET DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-1528
Mailing Address - Country:US
Mailing Address - Phone:210-684-4863
Mailing Address - Fax:
Practice Address - Street 1:6402 RED JACKET DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1528
Practice Address - Country:US
Practice Address - Phone:210-684-4863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2020207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology