Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | DR.0043510 | CO |
Y | 207W00000X | Ophthalmologist | J8262 | TX |
N | 207W00000X | Ophthalmologist | MD18288 | OR |
N | 207W00000X | Ophthalmologist | MD60650165 | WA |
N | 207WX0107X | Retina Specialist | J8262 | TX |
NPI | 1013989706 |
---|---|
Provider Name | Clio Armitage Harper III |
First Address | Austin, TX 78705-1167 |
Second Address | Austin, TX 78705-1169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 07/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
135843408 | (05) | TX |
180024010 | RAILROAD MEDICARE (01) | TX |
86X320 | BCBSTX (01) | TX |