MEDICARE: HARLEY SAMANTHA NARVAEZ

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1193635	TX

General Provider Information

NPI Number	:	1760145015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARLEY SAMANTHA NARVAEZ

Provider Business Mailing Address
First Line	:	6221 CHAPEL HILL BLVD STE 300-B
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6388
Country	:	US
Telephone Number	:	469-355-4952
Fax Number	:

Provider Business Practice Location Address
First Line	:	6221 CHAPEL HILL BLVD STE 300-B
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6388
Country	:	US
Telephone Number	:	469-777-4691
Fax Number	:

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

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	11/23/2025

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