# HARRIS FAMILY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harris Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023885050
- **Authorized official:** ARETHA RENEE HARRIS FNP-C (PROVIDER)
- **Authorized official phone:** (662) 631-4316

## Contact information

- **Practice address:** 403 E WASHINGTON ST, HOUSTON, MS 38851-2318
- **Practice address phone:** (662) 792-6601
- **Practice address fax:** (406) 315-7338
- **Mailing address:** 403 E WASHINGTON ST, HOUSTON, MS 38851-2318
- **Mailing address phone:** (662) 792-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 11/08/2024