Individual
MR. GREGORY HAYS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
906 JUDSON RD, LONGVIEW, TX 75601-5113
(903) 655-1313
(903) 657-6067
Mailing address
P.O. BOX 2527, LONGVIEW, TX 75606-2527
(903) 655-1313
(903) 657-6067
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
038631
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
243531
TX
367500000X
Certified Registered Nurse Anesthetist
C01278
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126099406
—
TX
05
—
142748701
—
AR
01
—
5W281
AR BCBS
AR
Enumeration date
09/26/2005
Last updated
03/03/2009
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