Individual provider Active NPI

Harry Kourlis Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Texarkana, TX
National Provider Identifier
1902865678
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
J2453 Issued in TX
Practice address
2604 Saint Michael Dr Ste 425
Texarkana, TX 75503-2378
Phone
(903) 614-5630
NPI assigned
Mar 21, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 261617 MA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E11786 AR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.122089 OR
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 122089 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.122089 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD60593168 WA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X J2453 TX Primary

Addresses

Primary practice location

2604 Saint Michael Dr Ste 425
Texarkana, TX 75503-2378

Mailing address

2604 Saint Michael Dr Ste 425
Texarkana, TX 75503-2378
Phone (903) 614-5600

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-6376
Phone (214) 403-8006

Other practice location 2

1330 Mercy Dr NW
Canton, OH 44708-2626
Phone (330) 588-4676

Other identifiers 1

IdentifierTypeStateIssuer
127405201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120111000504 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9133315294 Reassigns benefits to 1 organization
I20131210000989 OH Practitioner - Thoracic SurgeryPractitioner - General Surgery 9133315294 Reassigns benefits to 1 organization
I20171004000083 AL Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 9133315294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-5250

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E11786ARMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
261617MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
122089OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.122089OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.122089ORMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
J2453TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD60593168WAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 1, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 2, 2026 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 1, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 2, 2026 Accepting new patients
Mercy Professional Care, LLC CurrentSince Oct 8, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Cleveland Clinic Mercy Hospital Past Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 603
Montgomery, AL 36116
Phone (334) 281-9000

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

1330 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1330 Timken Mercy Dr NW
Ste 502
Canton, OH 44708
Phone (330) 489-1379

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

2604 Saint Michael Dr
Ste 425
Texarkana, TX 75503
Phone (903) 614-5600

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1902865678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 425",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-614-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 425",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-614-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441956376",
            "country_code": "US",
            "telephone_number": "214-403-8006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Mercy Dr NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447082626",
            "country_code": "US",
            "telephone_number": "330-588-4676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOURLIS",
        "first_name": "HARRY",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "261617",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E11786",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OR",
            "license": "35.122089",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "122089",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.122089",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WA",
            "license": "MD60593168",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "J2453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127405201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.