Individual
DR. RONALD M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2319 N MOPAC EXPY, STE 100, AUSTIN, TX 78758-2486
(512) 837-3376
Mailing address
PO BOX 4716-355, HOUSTON, TX 44210-4716
(512) 837-1984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
3184291205
UT
207ND0900X
Dermatopathology Physician
Primary
3184291205
UT
207NS0135X
Procedural Dermatology Physician
3184291205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002085554
—
NV
05
—
004136100
—
ID
05
—
0048438
—
MT
05
—
723503
—
AZ
05
—
870468377001
—
UT
Enumeration date
09/15/2006
Last updated
09/27/2024
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