Individual
MS. GLENNA JOYCE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0779
Mailing address
1869 PECOS ST, LEWISVILLE, TX 75077-2716
(972) 221-4710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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