Harris, Carla Diane

Harris, Carla Diane is an individual health care provider with primary practice located at 3201 Corsicana Crossings Blvd Ste 101 , Corsicana TX 75109-9302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Harris, Carla Diane can be contacted via phone (903) 872-6065.

Contact Information

Primary practice address
3201 Corsicana Crossings Blvd Ste 101 Corsicana TX 75109-9302
Phone: (903) 872-6065
Fax: (903) 872-2975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R59688 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP112068 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 037611322 Texas

Profile Details

NPI number 1801807136
LBN Legal business name Harris, Carla Diane
Credentials CERTIFIED NURSE PRAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 10th, 2024 - about last year

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 1801807136 NPPES
New Mexico MEDICAID 27906728

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