| Harris Family Clinic | |
|
403 E Washington St Houston MS 38851-2318 | |
| (662) 792-6601 | |
| (406) 315-7338 |
| Full Name | Harris Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 E Washington St, Houston, Mississippi |
| Authorized Official Name and Position | Aretha Renee Harris (PROVIDER) |
| Authorized Official Contact | 6626314316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Family Clinic 403 E Washington St Houston MS 38851-2318 Ph: (662) 792-6601 | Harris Family Clinic 403 E Washington St Houston MS 38851-2318 Ph: (662) 792-6601 |
| NPI Number | 1023885050 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 5092154369 |
|---|---|
| Medicare Enrollment ID | O20240418004233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023885050 | NPI | - | NPPES |
| Provider Name | Aretha Renee Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803005 PECOS PAC ID: 9931534104 Enrollment ID: I20210114000567 |
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