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PATRICIA ROBERTS HARRIS DO PLLC NPI 1366940470


NPI Information

NPI: 1366940470
Provider Name: PATRICIA ROBERTS HARRIS DO PLLC

Other Name: EXTRA CARE CONCERNS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2026821

Address:
2529 E LANCASTER AVE STE A
FORT WORTH, TX
ZIP 76103
Phone: (817) 534-7300
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PATRICIA ROBERTS HARRIS DO PLLC is a family medicine in Fort Worth, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PATRICIA ROBERTS HARRIS DO PLLC NPI is 1366940470. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Extra Care Concerns.

The provider's business location address is:

2529 E LANCASTER AVE STE A
FORT WORTH, TX
ZIP 76103-253
Phone: (817) 534-7300

The provider's authorized official is Patricia L Roberts .
The authorized official title is Authorized Official and has the following contact phone number (817) 534-7300.

The CLIA number assigned to this NPI record is 45D2026821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineL1186TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1L1186OTHERTEXASMEDICAL LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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