Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | PA12438 | TX |
NPI | 1013487867 |
---|---|
Provider Name | Paige K Harrelson |
First Address | Mckinney, TX 75071-7418 |
Second Address | Mckinney, TX 75071-7418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2018 |
Last Update Date | 19/12/2018 |