# HARRIS MED SUPPLIER LLC

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

## Provider details

- **NPI number:** 1205621513
- **Authorized official:** CLYDE HARRIS (OWNER)
- **Authorized official phone:** (779) 335-4130

## Contact information

- **Practice address:** 17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132
- **Practice address phone:** (779) 335-4130
- **Mailing address:** 17350 STATE HIGHWAY 249 STE 220, HOUSTON, TX 77064-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2025
- **Last updated:** 05/09/2025