Individual
DR. ALICIA JEAN HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2206 W PARK ROW DR STE 102, PANTEGO, TX 76013-3404
(987) 817-2870
(987) 817-2869
Mailing address
2206 W PARK ROW DR STE 102, PANTEGO, TX 76013-3404
(817) 860-2700
(817) 860-2704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S2055
TX
Other
Enumeration date
03/30/2016
Last updated
08/31/2023
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