Individual
DR. SAMUEL HILLS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 UNIVERSITY DR E, SUITE 370, BRYAN, TX 77802-3475
(979) 731-8660
Mailing address
3201 UNIVERSITY DR E, SUITE 370, BRYAN, TX 77802-3475
(979) 731-8660
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H8112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8413M0
BLUE CROSS PROVIDER NUMBE
TX
Enumeration date
10/23/2006
Last updated
07/09/2007
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