Doctor Name: | VERONICA HARRIS |
NPI Number: | 1366696254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 629643 |
Business Practice Address: | 701 Mcclintic Dr Groesbeck, TX - 766422128 |
Business Phone Number: | 2547293411 |
Business Fax Number: | 2547293258 |
Mailing Address: | 421 Chumney, TEAGUE |
State: | TX |
Postal Code: | 758602220 |
Phone Number: | 2547392634 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 629643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |