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Individual

DONALD LAVELL HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1415 CALIFORNIA ST, HOUSTON, TX 77006-2602
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04890
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA04890
TEXAS MEDICAL BOARD
TX
Enumeration date
07/18/2006
Last updated
06/09/2017
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