Individual
ENEIDA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 GASTON AVE STE 751, DALLAS, TX 75246-1907
(469) 800-8070
Mailing address
3600 GASTON AVE STE 751, DALLAS, TX 75246-1907
(469) 800-8070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10050805
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT214605
PA
207RP1001X
Pulmonary Disease Physician
MT214605
PA
207RP1001X
Pulmonary Disease Physician
Primary
T0087
TX
Other
Enumeration date
05/14/2014
Last updated
05/26/2023
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