Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC4085 | TX |
NPI | 1104882950 |
---|---|
Provider Name | Dr. Dana Phelps Harper |
First Address | Houston, TX 77027-3161 |
Second Address | Houston, TX 77027-3161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 30/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T13696 | (02) | TX |