Organization
CRAIG E HARRISON, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG E HARRISON MD (PRESIDENT)
(903) 535-7722
Entity
Organization
Contact information
Practice address
1100 E LAKE ST STE 200, TYLER, TX 75701-3360
(903) 535-7722
(903) 535-7878
Mailing address
1100 E LAKE ST STE 200, TYLER, TX 75701-3360
(903) 535-7722
(903) 535-7878
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G7068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L87T
BCBS
TX
Enumeration date
02/01/2007
Last updated
08/22/2020
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