Organization
DARRYL C. HARRIS , MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY DARLENE NICHOLS (OFFICE MANAGER)
(409) 212-1000
Entity
Organization
Contact information
Practice address
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701-4664
(409) 212-1000
(409) 212-1003
Mailing address
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701-4664
(409) 212-1000
(409) 212-1003
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L3676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029HL
BLUE CROSS BLUE SHIELD
TX
05
—
1627771
—
LA
Enumeration date
12/20/2006
Last updated
07/16/2007
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