MEDICARE: SANDY HARRIS

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility		TX

General Provider Information

NPI Number	:	1336341338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANDY HARRIS

Provider Business Mailing Address
First Line	:	1604 VIDA CT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75253-4832
Country	:	US
Telephone Number	:	972-286-3665
Fax Number	:	972-286-2289

Provider Business Practice Location Address
First Line	:	1604 VIDA CT
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75253-4832
Country	:	US
Telephone Number	:	972-286-3665
Fax Number	:	972-286-2289

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. SANDY HARRIS
Credential	:	RN,BSN
Telephone Number	:	972-286-3665

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1356873236 — SANDY HARRIS RN
Practice Location Address:

1604 VIDA CT
DALLAS, TX
75253-4832

Practice Phone: 469-713-9479
Practice Fax:

1962473827 — DR. WILLIAM HUGO DILLIN M.D.
Practice Location Address:

7901 JOHN W CARPENTER FWY
DALLAS, TX
75247-4832

Practice Phone: 972-838-1132
Practice Fax: 469-802-0070

1659475481 — CVS PHARMACY INC
Practice Location Address:

15105 PRESTON RD
DALLAS, TX
75248-4832

Practice Phone: 972-763-1527
Practice Fax:

1811382351 — SEENA ROHANI DO, MPH, MMS
Practice Location Address:

7901 JOHN W CARPENTER FWY STE 100
DALLAS, TX
75247-4832

Practice Phone: 469-578-8240
Practice Fax:

1124662192 — DR. JONATHON MICHAEL DEAN MB BCHIR MA (CANTAB)
Practice Location Address:

4832 CAPE CORAL DR
DALLAS, TX
75287-7229

Practice Phone: 914-815-5582
Practice Fax:

1568066876 — BOBBIE QUACH PHARMD
Practice Location Address:

15105 PRESTON RD
DALLAS, TX
75248-4832

Practice Phone: 972-763-1527
Practice Fax:

Directions to “SANDY HARRIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.