MEDICARE: CATRICE HARRIS LM, CPM

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	176B00000X	Midwife	99517	TX

General Provider Information

NPI Number	:	1568855013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATRICE HARRIS LM, CPM

Provider Business Mailing Address
First Line	:	2307 CANYON MEADOWS DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-6031
Country	:	US
Telephone Number	:	972-876-2593
Fax Number	:

Provider Business Practice Location Address
First Line	:	2307 CANYON MEADOWS DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-6031
Country	:	US
Telephone Number	:	619-721-6762
Fax Number	:

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

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	06/27/2024

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