Provider Demographics
NPI:1003870932
Name:HARPER, DON STEWART (MD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:STEWART
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 N LOUISE ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:TX
Mailing Address - Zip Code:75551-1730
Mailing Address - Country:US
Mailing Address - Phone:903-799-6896
Mailing Address - Fax:
Practice Address - Street 1:6451 BRENTWOOD STAIR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-3200
Practice Address - Country:US
Practice Address - Phone:817-507-1770
Practice Address - Fax:817-507-1771
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2441207P00000X
SD4502207P00000X
OK16118207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BH0978722OtherDEA REGISTRATION
BH0978722OtherDEA REGISTRATION
D39178Medicare UPIN