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Individual
TIMOTHY LAIRD HARRIS
Active
Individual
TIMOTHY LAIRD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171962702
—
TX
01
—
171962703
MEDICAID OTHER
TX
01
—
P00369357
RAILROAD MEDICARE
TX
Enumeration date
04/05/2006
Last updated
02/24/2017
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