Doctor Name: | WENDY HARRIS |
NPI Number: | 1710172838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, APRN, BC |
License Number: | 662866 |
Business Practice Address: | 10220 Spring Branch Rd Spring Branch, TX - 780704931 |
Business Phone Number: | 2103553106 |
Business Fax Number: | |
Mailing Address: | 10220 Spring Branch Rd, SPRING BRANCH |
State: | TX |
Postal Code: | 780704931 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 662866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |