Individual ProviderDerrick HarrisOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404(210) 617-5300PECOS EnrollmentBased on the most recent information from CMS, provider Derrick Harris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1467753749Provider TypeIndividualFull NameHarris, DerrickCredentialOTRGenderMaleSole ProprietorYesEnumeration Date11/3/2010Last Updated11/3/2010Contact InformationPractice LocationPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404Phone(210) 617-5300Fax(210) 617-5391Mailing LocationMailing Address8910 Golden Brk, San Antonio, TX 78250-5008PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense113707Texas