Provider Demographics
NPI:1568855013
Name:HARRIS, CATRICE (LM, CPM)
Entity type:Individual
Prefix:
First Name:CATRICE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 CANYON MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-6031
Mailing Address - Country:US
Mailing Address - Phone:972-876-2593
Mailing Address - Fax:
Practice Address - Street 1:2307 CANYON MEADOWS DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-6031
Practice Address - Country:US
Practice Address - Phone:619-721-6762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99517176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife