DR. EDMUND D HARRIS MD NPI 1295706307

NPI Information

NPI: 1295706307
Provider Name: DR. EDMUND D HARRIS, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: MIDSTATE RADIOLOGY ASSOCIATES, LLC

PECOS Registration: Yes

Address:
6300 BRIDGE POINT PKWY
SUITE 2312
AUSTIN, TX
ZIP 78730
Phone: (512) 279-4501
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DR. Edmund D Harris, MD is a general practice in Austin, TX with 48 years of experience. DR. Edmund D Harris, MD NPI is 1295706307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

6300 BRIDGE POINT PKWY
SUITE 2312
AUSTIN, TX
ZIP 78730-073
Phone: (512) 279-4501

The NPI 1295706307 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 1/27/2006 and was last updated on 2/28/2020.

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	2085R0202X	Radiology	Diagnostic Radiology	64275	CONNECTICUT	No
2	2085R0202X	Radiology	Diagnostic Radiology	H6836	TEXAS	No
3	208D00000X	General Practice		H6836	TEXAS	Yes

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	136593412	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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