MEDICARE: NATASHA NICOLE HARRISON MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	N2107	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	79483	AZ

General Provider Information

NPI Number	:	1770756173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA NICOLE HARRISON MD

Provider Business Mailing Address
First Line	:	3838 N BRAESWOOD BLVD APT 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3014
Country	:	US
Telephone Number	:	512-745-0857
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N BRAESWOOD BLVD APT 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3014
Country	:	US
Telephone Number	:	512-745-0857
Fax Number	:

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

Provider Enumeration Date	:	04/07/2008
Last Update Date	:	02/02/2026

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