Organization Active NPI

David Keith Harris MD, PLLC

  • Physical Medicine & Rehabilitation Physician
  • West Lake Hills, TX
National Provider Identifier
1831328673
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J2597 Issued in TX
Legal business name
DAVID KEITH HARRIS MD, PLLC
Practice address
4613 Bee Caves Rd
Ste 105
West Lake Hills, TX 78746-5212
Phone
(512) 892-0490
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Michael L Segura
Title
Credentialing Spec
Phone
(512) 583-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J2597 TX Primary

Addresses

Primary practice location

4613 Bee Caves Rd
Ste 105
West Lake Hills, TX 78746-5212

Mailing address

PO Box 58
San Antonio, TX 78291-0058
Phone (512) 583-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090731000382 TX Part B Supplier - Clinic/Group Practice 5890756761 Receives reassigned benefits from 6 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

10815 Ranch Road 2222
Bldg 3B-200
Austin, TX 78730
Phone (512) 614-3300

7307 Creekbluff Dr
Ste D1
Austin, TX 78750
Phone (512) 454-1234

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1831328673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782910058",
            "telephone_number": "512-583-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD",
            "address_2": "STE 105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465212",
            "telephone_number": "512-892-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KEITH HARRIS MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPEC",
        "authorized_official_telephone_number": "512-583-2004"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.