Individual
DR. TOMMIE T HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4491 LONG PRAIRIE RD STE 550, FLOWER MOUND, TX 75028-1795
(214) 285-0010
(214) 285-0026
Mailing address
4491 LONG PRAIRIE RD STE 550, FLOWER MOUND, TX 75028-1795
(214) 285-0010
(214) 285-0026
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1947
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
T28-2009
TX
291U00000X
Clinical Medical Laboratory
45D2274201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213917201
—
TX
01
—
TXB105287
MEDICARE PTAN
TX
01
—
TXB128789
MEDICARE PTAN
TX
Enumeration date
04/01/2010
Last updated
02/16/2023
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