Provider Demographics
NPI:1982608311
Name:HARPER, EUGENE WINDLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:WINDLE
Last Name:HARPER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 GOLF COURSE RD
Mailing Address - Street 2:
Mailing Address - City:ANDREWS
Mailing Address - State:TX
Mailing Address - Zip Code:79714-3855
Mailing Address - Country:US
Mailing Address - Phone:432-523-5750
Mailing Address - Fax:432-523-6446
Practice Address - Street 1:711 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:ANDREWS
Practice Address - State:TX
Practice Address - Zip Code:79714-3616
Practice Address - Country:US
Practice Address - Phone:432-523-3194
Practice Address - Fax:432-523-6446
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice