Individual
DR. DUDLEY H HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
(210) 226-8365
Mailing address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
(210) 226-8365
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D6025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12050
SUPERIOR HEALTH
TX
01
—
85A022
BLUE CROSS BLUE SHIELD
TX
01
—
TY3362
FIRST HEALTH
TX
Enumeration date
07/12/2005
Last updated
01/09/2008
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