MEDICARE: DONALD DEAN HARPER NP

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	363LF0000X	Family Nurse Practitioner	695732	TX

General Provider Information

NPI Number	:	1013170919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD DEAN HARPER NP

Provider Business Mailing Address
First Line	:	PO BOX 398
Second Line	:
City	:	ANAHUAC
State	:	TX
Zip	:	77514-0398
Country	:	US
Telephone Number	:	409-267-4126
Fax Number	:	409-267-4120

Provider Business Practice Location Address
First Line	:	9825 EAGLE DR
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77523-9847
Country	:	US
Telephone Number	:	281-576-0670
Fax Number	:	409-267-4443

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

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	07/08/2019

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