Individual provider · Type 1 NPI

Jeffrey Glen Harris, MD

Student in an Organized Health Care Education/Training Program · Texarkana, AR

NPI number 1316569445 Active

Practice location

300 E 6th St
Texarkana, AR 71854-5207

Call (870) 779-6000 Map

Fax (870) 779-6093

Mailing address

3417 U Of A Way
Texarkana, AR 71854-1419

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316569445

Jeffrey Glen Harris, MD's National Provider Identifier is 1316569445, issued on May 12, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Texarkana, AR. The record was last updated on May 12, 2020.