Individual
COURTNEY AMBER HARCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-8666
(210) 916-8712
Mailing address
3551 ROGER BROOKE DRIVE, JBSA, FORT SAM HOUSTON, TX 78234
(210) 916-8666
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208097
TX
363A00000X
Physician Assistant
PA11164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11164
TEXAS MEDICAL LICENSE
TX
Enumeration date
03/27/2017
Last updated
07/31/2023
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