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Individual
DR. BRENT REAVLEY HARRIS
Active
Individual
DR. BRENT REAVLEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
F6718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80P182
BCBSTX PROVIDER NUMBER
TX
01
—
8U0910
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
08/01/2006
Last updated
11/29/2007
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