Individual
MR. THOMAS J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 W. HIGHWAY 6, WACO, TX 76712
(254) 399-0741
(254) 399-0779
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33401
AZ
207RH0003X
Hematology & Oncology Physician
Primary
0101245391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992789291
—
VA
05
—
220660901
—
TX
01
—
P01052034
RAILROAD MEDICARE
TX
Enumeration date
12/01/2005
Last updated
09/04/2012
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