Provider Demographics
NPI:1942332242
Name:HARRIS, DANIEL LEE (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEE
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3070 COLLEGE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4667
Mailing Address - Country:US
Mailing Address - Phone:409-892-4600
Mailing Address - Fax:877-671-0221
Practice Address - Street 1:3070 COLLEGE ST STE 300
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4667
Practice Address - Country:US
Practice Address - Phone:409-892-4600
Practice Address - Fax:877-671-0221
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2638207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S9651OtherBLUE CROSS
TX8S9651OtherBLUE CROSS