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Individual

AZALI MAISHA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGPCNP-C

Contact information

Practice address
381 CASA LINDA PLZ STE 123, DALLAS, TX 75218-3471
(972) 914-9592
Mailing address
3314 CASSINIA PKWY STE 123, FORNEY, TX 75126-1007

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1165340
TX
363LG0600X
Gerontology Nurse Practitioner
1165340
TX

Other

Enumeration date
10/09/2024
Last updated
04/07/2025
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