Provider Demographics
NPI:1750461018
Name:HARRIS, TOI B (MD)
Entity Type:Individual
Prefix:
First Name:TOI
Middle Name:B
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEMORIAL HERMANN HEALTH SYSTEM
Mailing Address - Street 2:929 GESSNER, SUITE 2700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
Mailing Address - Country:US
Mailing Address - Phone:713-242-2462
Mailing Address - Fax:
Practice Address - Street 1:929 GESSNER RD STE 2700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2593
Practice Address - Country:US
Practice Address - Phone:713-242-2462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ51412084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177094301Medicaid
G30200Medicare UPIN
TX8L2265Medicare PIN
TX8D9304Medicare PIN