Active NPI
Darryl C. Harris , MD, PA
- Obstetrics & Gynecology Physician
- Beaumont, TX
National Provider Identifier
1104980598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L3676
- Legal business name
- DARRYL C. HARRIS , MD, PA
- Practice address
- 740 Hospital Dr
Suite 250
Beaumont, TX 77701-4664 - Phone
- (409) 212-1000
- Fax
- (409) 212-1003
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathy Darlene Nichols
- Title
- Office Manager
- Phone
- (409) 212-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | L3676 | TX | Primary |
Addresses
Primary practice location
740 Hospital Dr
Suite 250
Beaumont, TX 77701-4664
Mailing address
740 Hospital Dr
Suite 250
Beaumont, TX 77701-4664
Phone (409) 212-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1627771 | Medicaid | LA | |
| 0029HL | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1104980598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 HOSPITAL DR",
"address_2": "SUITE 250",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014664",
"telephone_number": "409-212-1000",
"fax_number": "409-212-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 HOSPITAL DR",
"address_2": "SUITE 250",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014664",
"telephone_number": "409-212-1000",
"fax_number": "409-212-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARRYL C. HARRIS , MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "DARLENE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "409-212-1000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L3676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1627771",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0029HL",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.