Provider Demographics
NPI:1053593236
Name:HARRIS NECK & BACK CLINIC, P.C.
Entity type:Organization
Organization Name:HARRIS NECK & BACK CLINIC, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-980-1050
Mailing Address - Street 1:3425 HIGHWAY 6
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4439
Mailing Address - Country:US
Mailing Address - Phone:281-980-1050
Mailing Address - Fax:281-980-1348
Practice Address - Street 1:3425 HIGHWAY 6
Practice Address - Street 2:SUITE 101
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4439
Practice Address - Country:US
Practice Address - Phone:281-980-1050
Practice Address - Fax:281-980-1348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2348111N00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty