Individual
PHILLIP HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
1901 BABCOCK RD, SAN ANTONIO, TX 78229-4554
(210) 340-5972
(210) 340-2214
Mailing address
1901 BABCOCK RD, SAN ANTONIO, TX 78229-4554
(210) 340-5972
(210) 340-2214
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1428
TX
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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