CANAAN LAVELLE HARRIS M.D. NPI 1023166444

NPI Information

NPI: 1023166444
Provider Name: CANAAN LAVELLE HARRIS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1315 ST JOSEPH PKWY STE 1001
HOUSTON, TX
ZIP 77002
Phone: (713) 658-1900
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Canaan Lavelle Harris, M.D. is a specialist in Houston, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Canaan Lavelle Harris, M.D. NPI is 1023166444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1315 ST JOSEPH PKWY STE 1001
HOUSTON, TX
ZIP 77002-231
Phone: (713) 658-1900
Fax: (713) 658-1971

The NPI 1023166444 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 1/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G1424	TEXAS	Yes
2	174400000X	Specialist				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	035694101	MEDICAID	TEXAS
2	760356749	MEDICAID	TEXAS
3	760356749	OTHER	TEXAS	TAX IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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