PRESTON E HARRISON JR MD PA
Medical Practice at Doctors Dr, Tyler, TX

License number
Texas D7080
Category
Medical Practice
Type
Neuromusculoskeletal Medicine & OMM
Owner
Name: DR. PRESTON E HARRISON JR. MD
Title: OWNER
Phone: (903) 597-3787
Address
Address
1301 Doctors Dr, Tyler, TX 75701
National Provider ID: 1396140547
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRESTON E. HARRISON, JR., M.D., PA

PO Box 130849, Tyler, TX 75713

Doing business as:
Preston E. Harrison, Jr., M.D., PA
Registration:
Dec 3, 1979
State ID:
0080553903
Business type:
Professional Association
Member , Directors:
P. E. Harrison (President , Treasurer , Secretary , Vice-President),Preston E. Harrison (Member , Director)
Agent:
Preston E. Harrison Jr,1301 Doctor's Dr, Tyler, TX 75701 (Physical)
TIN:
32036048299

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