Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Homer McCoy Harrison Jr, PA

Individual provider Medical Physician Assistant · NPI 1760523161

Homer McCoy Harrison Jr, PA is a Medical Physician Assistant in Stockton, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3663 Arch Rd
Stockton, CA 95215-8315
Phone: (209) 943-2202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10433 (CA)

Record details

NPI number1760523161
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 8, 2007

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