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Organization

HARRIS 4 HEALTH

Active
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Organization

HARRIS 4 HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN RANEE HARRIS MSN, CNM, FNP-C (CNM, FNP-C)
(972) 304-6400
Entity
Organization

Contact information

Practice address
420 W BETHEL RD, COPPELL, TX 75019-4401
(972) 304-6400
(972) 304-6455
Mailing address
420 W BETHEL RD, COPPELL, TX 75019-4401
(972) 304-6400
(972) 304-6455

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
625586
TX
367A00000X
Advanced Practice Midwife
625586
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407912827
TYPE 1 NPI
TX
Enumeration date
11/19/2013
Last updated
11/19/2013
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