Provider Demographics
NPI:1174584874
Name:PRICE, HARRY R (M D)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:R
Last Name:PRICE
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-800-0656
Mailing Address - Fax:713-827-1380
Practice Address - Street 1:2130 W HOLCOMBE BLVD
Practice Address - Street 2:10TH FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3304
Practice Address - Country:US
Practice Address - Phone:713-600-0900
Practice Address - Fax:713-600-0070
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD6312207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
105603OtherAMERIGROUP
2320683OtherBLUE LINK
TX8807B0OtherBLUECHOICE
4080334OtherAETNA
900004210OtherRAILROAD MEDICARE
TX039879403Medicaid
10007200OtherAMERICAID
10007200OtherAMERICAID
4080334OtherAETNA