Individual
DR. JAMES BLAKE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H4385
TX
2086S0129X
Vascular Surgery Physician
Primary
H4385
TX
208C00000X
Colon & Rectal Surgery Physician
H4385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131440301
—
TX
01
—
3202292
BLUELINK
TX
01
—
5849465
AETNA
TX
01
—
770001869
RAILROAD MEDICARE
TX
01
—
86Z402
BCBSTX
TX
01
—
MDH4385
TX WC/IHC
TX
Enumeration date
08/15/2005
Last updated
10/20/2021
Update your record
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