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NPI Code Detail

MEDICARE: CINDY DEAN HARRIS NP

MEDICARE: CINDY DEAN HARRIS NP
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
1363LF0000XFamily Nurse Practitioner609994TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952320632
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY DEAN HARRIS NP
Provider Business Mailing Address
First Line : 12316 DURANGO ROOT DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6424
Country : US
Telephone Number : 972-693-3765
Fax Number :
Provider Business Practice Location Address
First Line : 6401 PRECINCT LINE RD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76182-4815
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/31/2009

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