MEDICARE: LAMONICA HARRISON PA-C

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	PA11627	TX

General Provider Information

NPI Number	:	1053824573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMONICA HARRISON PA-C

Provider Business Mailing Address
First Line	:	9450 SW GEMINI DR
Second Line	:
City	:	BEAVERTON
State	:	OR
Zip	:	97008-7105
Country	:	US
Telephone Number	:	713-461-2915
Fax Number	:	713-461-5307

Provider Business Practice Location Address
First Line	:	155 SCHOOL ST STE 300
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-5386
Country	:	US
Telephone Number	:	281-255-3838
Fax Number	:	281-255-3788

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

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	01/15/2026

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