Provider Demographics
NPI:1750405312
Name:HARRISON, BRETT MORRIS (PT)
Entity type:Individual
Prefix:MR
First Name:BRETT
Middle Name:MORRIS
Last Name:HARRISON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13636 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:TX
Mailing Address - Zip Code:77517-4306
Mailing Address - Country:US
Mailing Address - Phone:409-316-1052
Mailing Address - Fax:281-585-1266
Practice Address - Street 1:210 MEDIC LN
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-5576
Practice Address - Country:US
Practice Address - Phone:281-331-7455
Practice Address - Fax:281-585-1266
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034130225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist