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MICHAEL ANDRE HARRELL MD NPI 1689092660


NPI Information

NPI: 1689092660
Provider Name: MICHAEL ANDRE HARRELL, MD
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
701 S ZARZAMORA ST
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 358-7600
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Michael Andre Harrell, MD is a retina specialist ophthalmology in San Antonio, TX with 10 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Michael Andre Harrell, MD NPI is 1689092660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

701 S ZARZAMORA ST
SAN ANTONIO, TX
ZIP 78207-209
Phone: (210) 358-7600

The NPI 1689092660 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 4/7/2014 and was last updated on 9/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171000000XMilitary Health Care Provider0101259144VIRGINIANo
2207W00000XOphthalmology260239MASSACHUSETTSNo
3207W00000XOphthalmologyU4814TEXASNo
4207WX0107XOphthalmologyRetina SpecialistU4814TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.