Individual
MICHAEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9901 W IH 10 STE 800, SAN ANTONIO, TX 78230-2292
(337) 401-2549
Mailing address
386 HARMONY TRL, DERIDDER, LA 70634-5592
(337) 401-6955
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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