Craig E Harrison, MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G7068 Issued in TX

Legal business name

CRAIG E HARRISON, MD PA

Practice address

1100 E Lake St Ste 200
Tyler, TX 75701-3360

Phone

(903) 535-7722

Fax

(903) 535-7878

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Craig E Harrison, MD

Title

President

Phone

(903) 535-7722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962540302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E LAKE ST STE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013360",
            "telephone_number": "903-535-7722",
            "fax_number": "903-535-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E LAKE ST STE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013360",
            "telephone_number": "903-535-7722",
            "fax_number": "903-535-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG E HARRISON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-535-7722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "G7068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00L87T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Cody Cox, MD
• Hannah Coyne, BCBA, LBA
• Kandis Cozart
• Cpat
• Mary Craddock
• Craig Home Care Inc
• Marilyn Kay Craig, RRT
• Melissa Craig
• Keith Robert Crandall, DPM
• Jaimie Crane

• Plastic Surgery Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.