Individual
BLAYNE M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W 38TH ST, SUITE 421, AUSTIN, TX 78731-6400
(512) 407-9440
(512) 407-9448
Mailing address
1600 W 38TH ST, SUITE 421, AUSTIN, TX 78731-6400
(512) 407-9440
(512) 407-9448
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01071624A
IN
2084P0800X
Psychiatry Physician
MD447097
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
Q0763
TX
Other
Enumeration date
06/19/2008
Last updated
10/11/2014
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