Individual
MISS EVA C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SUGAR GROVE BLVD STE 308, STAFFORD, TX 77477-2639
(281) 818-4780
Mailing address
2011 KNOLL OAK LN, ROSENBERG, TX 77469-5732
(281) 818-4780
(281) 408-4169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14619826424
—
TX
Enumeration date
09/07/2012
Last updated
09/07/2023
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