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NPI Code Detail

MEDICARE: TRACEE J HARRIS PMHNP-BC

MEDICARE: TRACEE J HARRIS PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1044355TX

General Provider Information

NPI Number : 1376114959
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACEE J HARRIS PMHNP-BC
Provider Business Mailing Address
First Line : 8588 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1853
Country : US
Telephone Number : 844-824-8775
Fax Number :
Provider Business Practice Location Address
First Line : 8588 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1853
Country : US
Telephone Number : 281-993-3733
Fax Number : 281-648-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 03/12/2026

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