Individual
WILLIAM BLAKE HAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST STE 2509, HOUSTON, TX 77030-2777
(326) 238-2040
Mailing address
6550 FANNIN ST STE 2509, HOUSTON, TX 77030-2777
(326) 238-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20889
SC
207R00000X
Internal Medicine Physician
P9869
TX
2084P0800X
Psychiatry Physician
20889
SC
2084P0800X
Psychiatry Physician
36463
TN
2084P0800X
Psychiatry Physician
Primary
P9869
TX
Other
Enumeration date
08/29/2006
Last updated
01/20/2023
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