Individual provider · Type 1 NPI

Carla Michele Harris, MSSC PA-C

Medical Physician Assistant · Addison, TX

NPI number 1053459560 Active

Practice location

5080 Spectrum Dr, Suite 1200 West Tower
Addison, TX 75001-4648

Mailing address

519 Fairfield Road
East Windsor, NJ 08520

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00318100 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1053459560

Carla Michele Harris, MSSC PA-C's National Provider Identifier is 1053459560, issued on Feb 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Addison, TX. The record was last updated on Feb 27, 2014.