MEDICARE: HARUN EL-HAGE MSN, APRN, 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1231880	TX

General Provider Information

NPI Number	:	1518801950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARUN EL-HAGE MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	3803 KIPPERS CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-3313
Country	:	US
Telephone Number	:	682-521-4571
Fax Number	:

Provider Business Practice Location Address
First Line	:	3803 KIPPERS CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-3313
Country	:	US
Telephone Number	:	682-521-4571
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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