Individual
MR. HARRIS ROBERTS FENDER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 HOSPITAL DRIVE, TYLER, TX 75701
(903) 597-9361
(903) 597-6264
Mailing address
1015 HOSPITAL DRIVE, TYLER, TX 75701
(903) 597-9361
(903) 597-6264
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D9437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03249070
—
TX
05
—
032490701
—
TX
Enumeration date
08/21/2006
Last updated
04/24/2008
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