Matthew Harris, CPO
Prosthetist in San Antonio, TX. Individual provider (NPI-1).
NPI number1972863264
StatusActive
Last updated in NPPESMay 21, 2012
Details
- NPI
- 1972863264
- Entity type
- Individual (NPI-1)
- Name
- Matthew Harris
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2012
- Last updated
- May 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | 1478 | TX | Yes |
| 222Z00000X | 1478 | TX |
Practice location
4319 Medical Dr Ste 106San Antonio, TX 78229-3325
Phone 210-494-1933 · Fax 210-494-1940
Mailing address
4319 Medical Dr Ste 106San Antonio, TX 78229-3325
Phone 210-494-1933 · Fax 210-494-1940
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