Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | H3572 | TX |
N | 207RA0201X | Internist - Allergy & Immunology | H3572 | TX |
NPI | 1083700363 |
---|---|
Provider Name | Lyndall Franklin Harrison |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77025-1669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104759902 | (05) | TX |
104759905 | (05) | TX |
104759906 | (05) | TX |