Provider Demographics
NPI:1881292712
Name:HARPER, DAVID CROCKETT (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:CROCKETT
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 1:1001 FOX HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-3051
Mailing Address - Country:US
Mailing Address - Phone:972-294-0205
Mailing Address - Fax:
Practice Address - Street 1:1001 FOX HOLLOW LN
Practice Address - Street 2:
Practice Address - City:OAK POINT
Practice Address - State:TX
Practice Address - Zip Code:75068-3051
Practice Address - Country:US
Practice Address - Phone:972-294-0205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine