Harrisburg Clinic, Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

E3055 Issued in TX

Legal business name

HARRISBURG CLINIC, INC

Practice address

5101 Harrisburg Blvd
Houston, TX 77011

Phone

(936) 258-5855

Fax

(936) 258-7452

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rodis Briggs

Title

Billing MGR.

Phone

(936) 258-5855

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003963349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77011",
            "telephone_number": "936-258-5855",
            "fax_number": "936-258-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77011",
            "telephone_number": "936-258-5855",
            "fax_number": "936-258-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "RODIS",
        "authorized_official_title_or_position": "BILLING MGR.",
        "authorized_official_telephone_number": "936-258-5855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "E3055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomika S Harris, CPNP
• Tracee J Harris, PMHNP-BC
• Trang Harris
• Tywanna Evette Harris
• Valerie Harris, RD
• Harrisburg Eye Clinic PA
• Harrisburg Eye Clinic, PA
• Harrisburg Pharmacy, PLLC
• Latonia Harrision
• Benjetta M Harrison West, LPC

• Legal Medicine in Houston, TX
• Providers in Houston, TX by specialty
• Legal Medicine in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.