Individual
LYDIA JIN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1132 S BOWEN RD, ARLINGTON, TX 76013-2204
(817) 265-9700
(817) 277-4164
Mailing address
1132 S BOWEN RD, ARLINGTON, TX 76013-2204
(817) 265-9700
(817) 277-4164
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP136538
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082705701
—
TX
Enumeration date
06/21/2018
Last updated
06/21/2018
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