Individual
JASON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3027 MARINA BAY DR STE 344, LEAGUE CITY, TX 77573-3089
(281) 968-2745
Mailing address
2905 WATERLOO RD, PEARLAND, TX 77581-4521
(281) 636-5496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
674688
TX
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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