Harris, Mark Jason

Harris, Mark Jason is an individual health care provider with primary practice located at 9742 Katy Fwy Ste 600 , Houston TX 77055-6227. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harris, Mark Jason can be contacted via phone (713) 464-3937.

Contact Information

Primary practice address
9742 Katy Fwy Ste 600 Houston TX 77055-6227
Phone: (713) 464-3937
Fax: (713) 464-3947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4659TG Texas

Profile Details

NPI number 1700876752
LBN Legal business name Harris, Mark Jason
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 2nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700876752 NPPES
Texas MEDICAID 0417800-01

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