Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1934 | TX |
Y | 222Z00000X | Podiatrist | 1934 | TX |
NPI | 1013031921 |
---|---|
Provider Name | Dr. Francisca Marcela Harrell |
First Address | Laredo, TX 78041-1705 |
Second Address | Laredo, TX 78041-1705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2007 |
Last Update Date | 03/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1934 | TEXAS STATE BOARD LICENSE (01) | TX |
212649201 | (05) | TX |