Individual
TANYA S HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6102 APPALOOSA TRAIL, SAN ANGELO, TX 76901
(325) 895-9945
Mailing address
PO BOX 62665, SAN ANGELO, TX 76906-2665
(325) 895-9945
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101239550
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
S8570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S8570
MEDICAL LICENSE
TX
Enumeration date
05/23/2006
Last updated
12/30/2020
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