# MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083089726
- **Authorized official:** RUSSELL HARRIS MD (PHYSICIAN OWNER)
- **Authorized official phone:** (214) 754-8700

## Contact information

- **Practice address:** 13737 NOEL RD, SUITE 1400, DALLAS, TX 75240-1331
- **Practice address phone:** (214) 712-2815
- **Practice address fax:** (888) 491-7218
- **Mailing address:** PO BOX 785186, PHILADELPHIA, PA 19178-5186
- **Mailing address phone:** (214) 712-2815
- **Mailing address fax:** (888) 491-7218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2015
- **Last updated:** 12/07/2015
