Healthcare Provider Details

I. General information

NPI: 1265300875
Provider Name (Legal Business Name): MARY ELIZABETH HARRELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S DALLAS PKWY
CELINA TX
75009-3495
US

IV. Provider business mailing address

1801 FERGUSON LN
MCKINNEY TX
75071-1671
US

V. Phone/Fax

Practice location:
  • Phone: 945-677-5999
  • Fax:
Mailing address:
  • Phone: 214-392-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number958333
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: