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Individual

MARK L HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 S BROADWAY ST, MCALLEN, TX 78501-4906
(956) 682-9680
(956) 682-9915
Mailing address
620 S BROADWAY ST, MCALLEN, TX 78501-4906
(956) 682-9680
(956) 682-9915

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G4598
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96320902
TX
Enumeration date
07/07/2005
Last updated
07/08/2007
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