Robert C Harris Md Pa | |
3820 E 51st St Ste B Tulsa OK 74135-3627 | |
(918) 747-4631 | |
Not Available |
Full Name | Robert C Harris Md Pa |
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Speciality | Internal Medicine |
Location | 3820 E 51st St, Tulsa, Oklahoma |
Authorized Official Name and Position | Robert C Harris (OWNER/PHYSICIAN) |
Authorized Official Contact | 9187474631 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert C Harris Md Pa 3820 E 51st St Ste B Tulsa OK 74135-3627 Ph: (918) 747-4631 | Robert C Harris Md Pa 3820 E 51st St Ste B Tulsa OK 74135-3627 Ph: (918) 747-4631 |
NPI Number | 1205013216 |
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Provider Enumeration Date | 01/22/2008 |
Last Update Date | 02/08/2008 |
Medicare PECOS PAC ID | 5395877336 |
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Medicare Enrollment ID | O20101008001021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205013216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Robert C Harris |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528061652 PECOS PAC ID: 7517094923 Enrollment ID: I20101104001041 |
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