Preston E Harrison Jr MD PA

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

D7080 Issued in TX

Legal business name

PRESTON E HARRISON JR MD PA

Practice address

1301 Doctors Dr
Tyler, TX 75701-2239

Phone

(903) 597-3787

Fax

(903) 593-4052

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Preston E Harrison Jr., MDNPI 1184652141

Title

Owner

Phone

(903) 597-3787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preston E Harrison, M.D.

  • Neurology Physician
  • Tyler, TX
  • NPI 1184652141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1396140547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012239",
            "telephone_number": "903-597-3787",
            "fax_number": "903-593-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012239",
            "telephone_number": "903-597-3787",
            "fax_number": "903-593-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON E HARRISON JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-597-3787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "D7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan George Preddy, DC
• Premier Kids Care Inc
• Premier Nephrology of Tyler
• Premise Health of Texas Medical, P.a
• Present Mind Counseling Center, PLLC
• Annette Preston
• Tina R Prevost
• Wendy Prewett
• Carol G Price, FNP, PMHNP
• Courtney Price

• Neuromusculoskeletal Medicine & OMM Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.