PHILLIP HARRISON (NPI# 1598259525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598259525 |
| Entity Type | Individual |
| Full Name | PHILLIP HARRISON |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
Mendoza Clinic 11335 Ssg Sims Fort Bliss TX 79906 |
| Mailing Address |
4947 Hagood Ave Fort Bliss TX 79906-4039 |
| Practice Telephone | 7063419017 |
| Mailing Telephone | 7063419017 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396155875 | Phillip Austin Harrison | Dentist | 1195 W San Ramon Ave, Fresno, CA 93711-3152 | 2014-05-05 |
| 1811255714 | Phillip Harrison | Prosthetist | 1901 Babcock Rd, San Antonio, TX 78229-4554 | 2012-04-27 |
| 1124121389 | Phillip Edward Harrison | Dentist | 214 2nd St, Wenatchee, WA 98801 | 2006-09-06 |
| Street Address |
MENDOZA CLINIC 11335 SSG SIMS |
| City | FORT BLISS |
| State | TX |
| Zip Code | 79906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562073 | Anthony Patrick Perales | Physical Therapist | 11133 Ssg Sims St, Fort Bliss, TX 79906 | 2019-01-23 |
| 1336610237 | Guadalupe Gomez | Social Worker | 1026 Chafee Rd, El Paso, TX 79906 | 2018-12-17 |
| 1447601950 | Kayla Gale Hone | Dental Hygienist | 11344 Ssg Sims, Fort Bliss, TX 79906 | 2016-06-27 |
| 1104283498 | Respira, Inc. | Durable Medical Equipment & Medical Supplies | 1611 Marshall Road, Fort Bliss, TX 79906 | 2016-01-19 |
| 1083967657 | National Vision, Inc. | Technician/Technologist | Fort Bliss Main Exchange, Bldg. 1616, Ste. F107, Fort Bliss, TX 79906 | 2012-10-19 |
| 1306074729 | Jennifer Stierwalt Domingo | Psychiatry & Neurology | Building 2489, Ricker Road, West Bliss Clinic, Fort Bliss, TX 79906 | 2009-06-24 |
| 1912176223 | Progreso Eyecare | Optometrist | Bldg. 1611 Marshall Road, Main Px Mall, Fort Bliss, TX 79906 | 2008-02-21 |
| 1932165651 | Gulabdas D Hariyani | General Practice | 6380 Morgan Ave, Suite E, El Paso, TX 79906 | 2006-04-21 |
| 1447750443 | Torey Elaina Sippio-james | Registered Nurse | 5613 Rattlesnake Springs Rd Apt D, El Paso, TX 79906-2106 | 2018-02-15 |
| 1104385657 | Alyssa Nyilas | Behavior Technician | 5691 Rattlesnake Springs Rd Apt B, Fort Bliss, TX 79906-2115 | 2019-03-14 |
| Find all providers in zip 79906 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003215062 | Sean Michael Sylvia | Physician Assistant | 11335 Ssg Sims St, Mendoza Soldier and Family Care Center, Fort Bliss, TX 79916 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT BLISS |
| Zip Code | 79906 |
Please comment or provide details below to improve the information on PHILLIP HARRISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.