Individual
MATTHEW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4319 MEDICAL DR STE 106, SAN ANTONIO, TX 78229-3325
(210) 494-1933
(210) 494-1940
Mailing address
4319 MEDICAL DR STE 106, SAN ANTONIO, TX 78229-3325
(210) 494-1933
(210) 494-1940
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1478
TX
224P00000X
Prosthetist
Primary
1478
TX
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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