Organization
DANIEL C HARRIS, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C HARRIS M.D. (OWNER/OPERATOR)
(580) 223-3213
Entity
Organization
Contact information
Practice address
2002 12TH AVE NW STE E, ARDMORE, OK 73401-1206
(580) 223-3216
(580) 223-4184
Mailing address
2002 12TH AVE NW STE E, ARDMORE, OK 73401-1206
(580) 223-3216
(580) 223-4184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23380
OK
174400000X
Specialist
K8632
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831149210
NPI - INDIVIDUAL
OK
01
—
23380
LICENSE
OK
01
—
K8632
LICENSE
TX
Enumeration date
09/16/2006
Last updated
09/04/2007
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