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General NPI Number Information
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NPI Number | 1659561058
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Entity Type | Individual
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Provider Name | AMY DIONNE HARRIS D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 417 E MAIN ST
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City | QUINLAN
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State | TX
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Zip | 75474-8989
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Country | US
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Telephone | 469-323-3742
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Fax | 469-757-0316
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Provider Business Mailing Address
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Address Line | 2931 RIDGE RD STE 101
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City | ROCKWALL
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State | TX
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Zip | 75032-6670
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Country | US
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Telephone | 469-323-3742
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Fax | 469-757-0316
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 9871
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License Number State | TX
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