Provider Demographics
NPI:1194949776
Name:HARRIS, JAMES J (ST,FA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:HARRIS
Suffix:
Gender:M
Credentials:ST,FA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 762377
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-7377
Mailing Address - Country:US
Mailing Address - Phone:210-396-0765
Mailing Address - Fax:210-592-1195
Practice Address - Street 1:9502 TIOGA CV
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-5000
Practice Address - Country:US
Practice Address - Phone:210-396-0765
Practice Address - Fax:210-592-1195
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant