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Individual

NICOLE MATTHS HARRELL

Active
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Individual

NICOLE MATTHS HARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD-202933
LA
207N00000X
Dermatology Physician
P2489
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1096199
LA
01
8DE581
BCBS
TX
Enumeration date
06/10/2008
Last updated
09/15/2014
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