MEDICARE: NAZANEEN HARIRI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1558212134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAZANEEN HARIRI

Provider Business Mailing Address
First Line	:	5301 TRAVISTON DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78738-6214
Country	:	US
Telephone Number	:	512-605-8177
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 BEE CAVES RD STE 201
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6465
Country	:	US
Telephone Number	:	512-612-9311
Fax Number	:	512-612-9311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	03/02/2026

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Directions to “ NAZANEEN HARIRI ” Practice Location

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