Individual
KEENON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5038 CHAMPIONS DR, LUFKIN, TX 75901-7346
(323) 687-2012
Mailing address
8527 POWELL RIDGE DR, CYPRESS, TX 77433-6690
(323) 687-2012
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40550
TX
Other
Enumeration date
07/28/2018
Last updated
07/28/2018
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