Organization
MEDICAL COMMAND CLINICAL PRACTICE OF PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS MD (PHYSICIAN OWNER)
(214) 754-8700
Entity
Organization
Contact information
Practice address
13737 NOEL RD, SUITE 1400, DALLAS, TX 75240-1331
(214) 712-2815
(888) 491-7218
Mailing address
PO BOX 785186, PHILADELPHIA, PA 19178-5186
(214) 712-2815
(888) 491-7218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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