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Jacqueline Harris, PA-C
Surgical Physician Assistant in Fort Worth, Texas
NPI 1821016403

Jacqueline Harris is a Surgical Physician Assistant based in Fort Worth, TX and is specialized in Surgical. Jacqueline Harris practices in Fort Worth, TX and has the professional credentials of PA-C. The NPI Number for Jacqueline Harris is 1821016403 and holds a License No. PA03245 (Texas).

The current practice location address for Jacqueline Harris is 800 5Th Ave Ste 300, Fort Worth, TX and can be reached out via phone at 817-878-5300 and via fax at 817-878-5321.

Location: 800 5Th Ave Ste 300, Fort Worth, TX, 76104-7303
person
Provider Profile Details
NPI Number
1821016403
Provider Name
Jacqueline Harris
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
800 5Th Ave Ste 300, Fort Worth, TX, 76104-7303
Phone Number
817-878-5300
Fax Number
817-878-5321
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821016403 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
800 5Th Ave Ste 300
City
State
Zip
76104-7303
Phone Number
817-878-5300
Fax Number
817-878-5321
person
Provider Business Mailing Address Details
Address
800 5Th Ave Ste 300
City
State
Zip
76104-7303
Phone Number
817-878-5300
Fax Number
817-878-5321
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA03245 (Texas)
Definition
Definition to come...
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