Thomas William Harris | San Diego, CA • PECOS Search

Thomas William Harris

Specialist

Other Service Providers

3444 Kearny Villa Rd Ste 202, San Diego, CA 92123-1960

PECOS Enrollment

Based on the most recent information from CMS, provider Thomas William Harris does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1316056492
Provider Type
Individual
Full Name
Harris, Thomas William
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/30/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3444 Kearny Villa Rd Ste 202, San Diego, CA 92123-1960

Unlisted Fax

Mailing Location

3444 Kearny Villa Rd, Ste 202, San Diego, CA 92123

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License C35639 California