Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 16118 | OK |
N | 207P00000X | Emergency Physician | 4502 | SD |
Y | 207P00000X | Emergency Physician | H2441 | TX |
NPI | 1003870932 |
---|---|
Provider Name | Don Stewart Harper |
First Address | Atlanta, TX 75551-1730 |
Second Address | Fort Worth, TX 76112-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BH0978722 | DEA REGISTRATION (01) | |
D39178 | (02) |