Individual
BROOKE NICOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, BS, AA
Contact information
Practice address
355 E VISTA RIDGE MALL DR APT 4933, LEWISVILLE, TX 75067-4024
(318) 834-6284
Mailing address
355 E VISTA RIDGE MALL DR APT 4933, LEWISVILLE, TX 75067-4024
(318) 834-6284
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
118694
LA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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