Harris, Olivia A

Harris, Olivia A is an individual health care provider with primary practice located at 4102 24Th St , Lubbock TX 79410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Harris, Olivia A can be contacted via phone (806) 773-9509.

Contact Information

Primary practice address
4102 24Th St Lubbock TX 79410
Phone: (806) 773-9509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP135653 Texas

Profile Details

NPI number 1902318736
LBN Legal business name Harris, Olivia A
Credentials MSN,RN,CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Jun 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902318736 NPPES
Texas MEDICAID 20173606
Texas MEDICAID 378208803
Texas Other 619098YKT8
Texas MEDICAID 12281808
Texas Other 8HT545
Texas Other 1902318736

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