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NPI Code Detail

MEDICARE: CHYANNE HARRINGTON

MEDICARE: CHYANNE HARRINGTON
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
12255A2300XAthletic TrainerAT6183TX

General Provider Information

NPI Number : 1790465813
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHYANNE HARRINGTON
Provider Business Mailing Address
First Line : 8877 LAKES AT 610 DR APT 404
Second Line :
City : HOUSTON
State : TX
Zip : 77054-2584
Country : US
Telephone Number : 806-283-3926
Fax Number :
Provider Business Practice Location Address
First Line : 4250 COOK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77072-1115
Country : US
Telephone Number : 806-283-3926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2023
Last Update Date : 07/24/2023

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Directions to “ CHYANNE HARRINGTON ” Practice Location

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