Individual
NAKISHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E LIBERTY ST, ROUND ROCK, TX 78664-5238
(512) 763-2044
Mailing address
5708 BROUGHAM WAY, AUSTIN, TX 78754-6008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
TX
174400000X
Specialist
—
—
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
03/19/2021
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