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Individual

MRS. LUTRICIA HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
412 N SAM HOUSTON PKWY E, SUITE H, HOUSTON, TX 77060-3508
(281) 260-6622
(281) 260-6688
Mailing address
412 NORTH SAM HOUSTON PARKWAY EAST, SUITE H, HOUSTON, TX 77060
(281) 260-6622
(281) 260-6688

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
620452
TX
363LF0000X
Family Nurse Practitioner
620452
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01165509
AMERIGROUP
TX
05
183321201
TX
01
183321202
TEXAS HEALTH STEPS
TX
01
2698846
UNITED HEALTHCARE
TX
01
620452
FNP
TX
01
NP7239
BLUE CROSS BLUE SHIELD
Enumeration date
06/08/2006
Last updated
03/13/2024
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