# FRIENDSHIP CITY ACUTE TRAUMA LLC

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

## Provider details

- **NPI number:** 1366865297
- **Authorized official:** RUSSELL HARRIS MD (PRESIDENT)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
- **Practice address phone:** (603) 436-5110
- **Mailing address:** 13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
- **Mailing address phone:** (954) 838-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 09/13/2019