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NPI Code Detail

MEDICARE: ELIZABETH HARRIS

MEDICARE:   ELIZABETH  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
1133NN1002XNutrition Education Nutritionist

General Provider Information

NPI Number : 1417259615
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HARRIS
Provider Business Mailing Address
First Line : 14520 MEMORIAL DR
Second Line : SUITE 16
City : HOUSTON
State : TX
Zip : 77079-5434
Country : US
Telephone Number : 281-940-7382
Fax Number :
Provider Business Practice Location Address
First Line : 14520 MEMORIAL DR
Second Line : SUITE 16
City : HOUSTON
State : TX
Zip : 77079-5434
Country : US
Telephone Number : 281-940-7382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2010
Last Update Date : 11/22/2010

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Directions to “ ELIZABETH HARRIS ” Practice Location

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