Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD2012-0778 | NM |
Y | 208000000X | Pediatrician | P7118 | TX |
N | 2080P0202X | Pediatric Cardiologist | MD2012-0778 | NM |
N | 2080P0202X | Pediatric Cardiologist | P7118 | TX |
NPI | 1225264880 |
---|---|
Provider Name | Dr. Andrea Harris |
First Address | Houston, TX 77030-3000 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2009 |
Last Update Date | 03/08/2017 |