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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

Details

NameValue
NPI1043922776
Enumeration Date2022-12-13
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX89405