Provider Demographics
NPI:1639165749
Name:HARRIS, JEFFREY THEODORE (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:THEODORE
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7940 FLOYD CURL DR
Mailing Address - Street 2:SUITE 620
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3905
Mailing Address - Country:US
Mailing Address - Phone:210-593-0237
Mailing Address - Fax:210-593-0376
Practice Address - Street 1:7940 FLOYD CURL DR
Practice Address - Street 2:SUITE 620
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3905
Practice Address - Country:US
Practice Address - Phone:210-593-0237
Practice Address - Fax:210-593-0376
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL244952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology