Individual
MS. CARLA DIANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE PRAC
Contact information
Practice address
3201 CORSICANA CROSSINGS BLVD STE 101, CORSICANA, TX 75109-9302
(903) 872-6065
(903) 872-2975
Mailing address
3201 CORSICANA CROSSINGS BLVD STE 101, CORSICANA, TX 75109-9302
(903) 872-6065
(903) 872-2975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
037611322
TX
363LF0000X
Family Nurse Practitioner
R59688
NM
363LP2300X
Primary Care Nurse Practitioner
AP112068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27906728
—
NM
Enumeration date
08/11/2006
Last updated
01/10/2024
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