Individual
TAMARA HARBISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C. PED
Contact information
Practice address
9737 GREAT HILLS TRL, SUITE 240, AUSTIN, TX 78759-6417
(512) 626-2323
Mailing address
1224 COMMERCE CT, SUITE 6, LAFAYETTE, CO 80026-2464
(303) 666-5889
(303) 666-7991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2794
DE
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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