Organization Active NPI

Jaclyn Harrison, MD, PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1356838734
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JACLYN HARRISON, MD, PLLC
Practice address
7580 Fannin St Ste 303
Houston, TX 77054-1940
Phone
(713) 714-5376
Fax
(281) 815-4372
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Jaclyn Harrison, MD
Title
Doctor
Phone
(713) 714-5376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7580 Fannin St Ste 303
Houston, TX 77054-1940

Mailing address

448 W 19TH St # 581
Houston, TX 77008-3914
Phone (713) 714-5376

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1356838734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 W 19TH ST # 581",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083914",
            "telephone_number": "713-714-5376",
            "fax_number": "281-815-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 FANNIN ST STE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541940",
            "telephone_number": "713-714-5376",
            "fax_number": "281-815-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN HARRISON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "713-714-5376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.