Organization
FRIENDSHIP CITY ACUTE TRAUMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 436-5110
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
09/13/2019
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