Provider Information for 1043922776
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PATRINA FLANAGAN HARRIS
Sex: Female
NPI: 1043922776
Last Updated: 2024-04-22
Certification Date: 2024-04-18
Certification Date: 2024-04-18
Details
Name | Value | ||||||||
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NPI | 1043922776 | ||||||||
Enumeration Date | 2022-12-13 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 12920 STEEPLE WAY BLVD APT 2 HOUSTON, TX 77065-4567 United States Phone: 281-830-0279 | Fax: | ||||||||
Primary Practice Address | 1401 NORTH LOOP W HOUSTON, TX 77008-1647 United States Phone: 832-786-9668 | Fax: | ||||||||
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