Organization · NPI-2

Craig E Harrison, MD PA

Plastic Surgery · Tyler, TX

NPI number1962540302
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962540302
Entity type
Organization (NPI-2)
Legal business name
Craig E Harrison, MD PA
Organization subpart
No
Enumeration date
Feb 1, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryG7068TXYes

Practice location

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

Phone 903-535-7722 · Fax 903-535-7878

Mailing address

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

Phone 903-535-7722 · Fax 903-535-7878

Authorized official

Craig E Harrison
President
9035357722

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