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NPI Code Detail

MEDICARE: SARAH HARRIS RDN

MEDICARE: SARAH HARRIS RDN
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
1133V00000XRegistered Dietitian1015451TX

General Provider Information

NPI Number : 1790380442
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH HARRIS RDN
Provider Business Mailing Address
First Line : 6402 WOODHUE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3736
Country : US
Telephone Number : 512-557-6462
Fax Number :
Provider Business Practice Location Address
First Line : 6402 WOODHUE DR
Second Line :
City : AUSTIN
State : TX
Zip : 78745-3736
Country : US
Telephone Number : 512-557-6462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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Directions to “ SARAH HARRIS RDN” Practice Location

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