| Jack Richard Harris, MD | |
|
1128 Medical Dr, Tyler, TX 75701-2109 | |
| (903) 593-8273 | |
| (903) 595-0204 |
| Full Name | Jack Richard Harris |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 1128 Medical Dr, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467445452 | NPI | - | NPPES |
| 1467445452 | Medicaid | TX | |
| 569909ZPF | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | G1425 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Richard Harris, MD Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Jack Richard Harris, MD 1128 Medical Dr, Tyler, TX 75701-2109 Ph: (903) 593-8273 |
Mark E Mccabe, Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1128 Medical Dr, Tyler, TX 75701 Phone: 903-593-8273 | |
Luis A Destarac, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901 Fax: 903-595-2571 | |
Jonathan William Buttram, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7000 | |
Paul Cletus Sharkey Jr., MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3310 Patriot Dr, Tyler, TX 75701 Phone: 903-939-7870 |