Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | N7227 | TX |
Y | 2080P0207X | Pediatric Hematology-Oncologist | N7227 | TX |
NPI | 1245414317 |
---|---|
Provider Name | Dr. Catherine Wells Harris Boston |
First Address | Corpus Christi, TX 78411-1721 |
Second Address | Corpus Christi, TX 78411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 01/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
282326202 | (05) | TX |