Basic Information
Provider Information
NPI: 1174516116
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARPER
FirstName: RICHARD
MiddleName: LOUIS
NamePrefix:  
NameSuffix: I
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6560 FANNIN
Address2: SUITE 1200
City: HOUSTON
State: TX
PostalCode: 770302711
CountryCode: US
TelephoneNumber: 7137901211
FaxNumber:  
Practice Location
Address1: 6560 FANNIN ST
Address2: SUITE 1200
City: HOUSTON
State: TX
PostalCode: 770302761
CountryCode: US
TelephoneNumber: 7137901211
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XMDD8259TXY Allopathic & Osteopathic PhysiciansNeurological Surgery 

ID Information
IDTypeStateIssuerDescription
84Z19001TXBC/BS OF TEXASOTHER


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