| Doctor Name: | MS. CARLA MICHELE HARRIS |
| NPI Number: | 1053459560 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSSC PA-C |
| License Number: | 25MP00318100 |
| Business Practice Address: | 5080 Spectrum Dr Suite 1200 West Tower Addison, TX - 750014648 |
| Business Phone Number: | 9727207848 |
| Business Fax Number: | |
| Mailing Address: | 519 Fairfield Road, EAST WINDSOR |
| State: | NJ |
| Postal Code: | 08520 |
| Phone Number: | 9089105711 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 02/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00318100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |