Provider Demographics
NPI:1902090236
Name:HARRIS CHIROPRACTIC, P.A.
Entity type:Organization
Organization Name:HARRIS CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-696-5150
Mailing Address - Street 1:4217 FAIRWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2454
Mailing Address - Country:US
Mailing Address - Phone:940-696-5150
Mailing Address - Fax:940-696-0475
Practice Address - Street 1:4217 FAIRWAY BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2454
Practice Address - Country:US
Practice Address - Phone:940-696-5150
Practice Address - Fax:940-696-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1164506986OtherJAMES W. HARRIS INDIVIDUAL NPI NUMBER
TX168284101OtherJAMES W. HARRIS, D.C. MEDICAID NUMBER
TX0006JFOtherBLUE CROSS BLUE SHIELD GROUP PROVIDER NUMBER
TX1750311163OtherSHEILA M. CARLEY, D.C. INDIVIDUAL NPI NUMBER
TX603728OtherJAMES W. HARRIS, D.C. MEDICARE PIN
TX8G5331OtherSHEILA M. CARLEY, D.C. BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER
U90943OtherSHEILA M. CARLEY, D.C. UPIN
TXU37023OtherJAMES W. HARRIS, D.C. UPIN NUMBER
TX0076983OtherSHEILA M. CARLEY, D.C. BLUE LINK NUMBER
TX5967OtherJAMES W. HARRIS, D.C. CHIROPRACTIC STATE LICENSE NUMBER
TX609761OtherSHEILA M. CARLEY,D.C. MEDICARE UPIN
TX8237023OtherJAMES W. HARRIS, D.C. BLUE LINK NUMBER
TX9256OtherSHEILA M. CARLEY, D.C. CHIROPRACTIC STATE LICENSE NUMBER
TX176683401OtherSHEILA M.CARLEY, D.C. MEDICAID NUMBER
TX603728OtherJAMES W. HARRIS, D.C. MEDICARE UPIN
TX609761OtherSHEILA M. CARLEY, D.C. MEDICARE PIN
TX8G5330OtherJAMES W. HARRIS, D.C. BLUE CROSS BLUE SHIELD INDIVIDUAL PROVIDER NUMBER