Individual
MS. MARYLYN RENEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6706 OLD OAKS BLVD, PEARLAND, TX 77584-7140
(832) 594-4391
(832) 594-4391
Mailing address
5330 GRIGGS RD, HOUSTON, TX 77021-3700
(713) 594-0179
(713) 513-5655
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
582752
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
582752
TX
171000000X
Military Health Care Provider
582752
TX
171M00000X
Case Manager/Care Coordinator
582752
TX
374T00000X
Religious Nonmedical Nursing Personnel
582752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582752
REGISTERED NURSE
TX
Enumeration date
08/08/2009
Last updated
03/17/2018
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