1477537843 NPI number — DEBORAH G. MORRIS-HARRIS MD

Table of content: DEBORAH G. MORRIS-HARRIS MD (NPI 1477537843)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477537843 NPI number — DEBORAH G. MORRIS-HARRIS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRIS-HARRIS
Provider First Name:
DEBORAH
Provider Middle Name:
G.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477537843
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/04/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8013 PULLAM CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75024-6849
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-669-9070
Provider Business Mailing Address Fax Number:
888-419-2656

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5501 INDEPENDENCE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75023-5463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-873-8500
Provider Business Practice Location Address Fax Number:
469-837-2860
Provider Enumeration Date:
11/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD.14788R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: M3654 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8U7233 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 178690701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 178690702 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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