Sue Ann Harrison, MD | |
601b Leah Ave, San Marcos, TX 78666-7849 | |
(512) 392-1700 | |
(512) 396-8743 |
Full Name | Sue Ann Harrison |
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Gender | Female |
Speciality | Pediatrics |
Location | 601b Leah Ave, San Marcos, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558392399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G9356 (Texas) | Primary |
Entity Name | Corridor Primary Care, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124050836 PECOS PAC ID: 4183669070 Enrollment ID: O20050621001307 |
Mailing Address | Practice Location Address |
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Sue Ann Harrison, MD 601b Leah Ave, San Marcos, TX 78666-7849 Ph: (512) 392-1700 | Sue Ann Harrison, MD 601b Leah Ave, San Marcos, TX 78666-7849 Ph: (512) 392-1700 |
Dr. Ivri K Messinger, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Dr. Julie Michele Fisher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Michelle E Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Michael J Grady, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Nicole Hannemann Hartman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 | |
Jeanne E. Flinn, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 |