Provider Demographics
NPI:1962584821
Name:HARRIS, MARK S (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:HARRIS
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:6711 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-4201
Mailing Address - Country:US
Mailing Address - Phone:214-369-4777
Mailing Address - Fax:833-234-0744
Practice Address - Street 1:17610 MIDWAY RD
Practice Address - Street 2:STE. 124
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-6777
Practice Address - Country:US
Practice Address - Phone:972-380-6977
Practice Address - Fax:972-250-1149
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor