Individual
MRS. TINA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
5608 GREENTREE AVE, WICHITA FALLS, TX 76306-1145
(940) 228-5200
Mailing address
939 MISSILE RD STE 1062, SHEPPARD AFB, TX 76311-2263
(940) 676-3816
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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