Provider Demographics
NPI:1720652225
Name:HARRIS, VICTOR H
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:H
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 1:221 E POLK ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-9105
Mailing Address - Country:US
Mailing Address - Phone:703-380-5082
Mailing Address - Fax:
Practice Address - Street 1:221 E POLK ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-9105
Practice Address - Country:US
Practice Address - Phone:703-380-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies