Doctor Name: | DR. SCOTT L HARRIS |
NPI Number: | 1992704258 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G3437 |
Business Practice Address: | 215 Oak Dr S Suite L Lake Jackson, TX - 775665629 |
Business Phone Number: | 9792975481 |
Business Fax Number: | 9792971924 |
Mailing Address: | 215 Oak Dr S, Suite L LAKE JACKSON |
State: | TX |
Postal Code: | 775665629 |
Phone Number: | 9792975481 |
Fax Number: | 9792971924 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 07/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G3437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |