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Organization
MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC
Active
Organization
MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS MD (PHYSICIAN OWNER)
(214) 754-8700
Entity
Organization
Contact information
Practice address
13737 NOEL RD, SUITE 1400, DALLAS, TX 75240-1331
(214) 712-2815
(888) 491-7218
Mailing address
PO BOX 785186, PHILADELPHIA, PA 19178-5186
(214) 712-2815
(888) 491-7218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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