Provider Demographics
NPI:1619204971
Name:HARRIS, CECIL ARNOLD
Entity Type:Individual
Prefix:MR
First Name:CECIL
Middle Name:ARNOLD
Last Name:HARRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5146 E DESERT STRAW LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-5187
Mailing Address - Country:US
Mailing Address - Phone:520-977-6919
Mailing Address - Fax:
Practice Address - Street 1:5146 E DESERT STRAW LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-5187
Practice Address - Country:US
Practice Address - Phone:520-977-6919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider