Individual
DR. EMMANUEL ELMO HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD, PAVILION II SUITE 845, DALLAS, TX 75208-2363
(214) 946-1133
(214) 946-3048
Mailing address
PO BOX 911589, DALLAS, TX 75391-1589
(214) 946-1133
(217) 946-3048
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L1879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144381402
—
TX
05
—
144381404
—
TX
Enumeration date
05/11/2006
Last updated
11/05/2012
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