Harris, Wallace E.

Harris, Wallace E. is an sole proprietor health care provider with primary practice located at 14951 Bellows Falls Ln 634, Humble TX 77396-6103. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator, Transportation Services / Transportation Broker, Transportation Services / Private Vehicle. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Harris, Wallace E. can be contacted via phone (281) 683-5053.

Contact Information

Primary practice address
14951 Bellows Falls Ln 634 Humble TX 77396-6103
Phone: (281) 683-5053
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Texas
Other Service Providers / Case Manager/Care Coordinator 171M00000X Texas
Transportation Services / Transportation Broker 347E00000X Texas
Transportation Services / Private Vehicle 347C00000X 23840944 Texas

Profile Details

NPI number 1407157860
LBN Legal business name Harris, Wallace E.
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2010
Last updated May 3rd, 2015 - about 10 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 1407157860 NPPES
Texas MEDICAID 1407157860

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