Individual
GILDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7916
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09817
TX
Other
Enumeration date
07/21/2015
Last updated
11/16/2015
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