FANTASIA MIDORI HARRIS

DALLAS, TX
NPI1467891341
Former NameFANTASIA MIDORI ELLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  705421)
Enumeration Date2013-06-24
Last Update Date2013-12-24
Business Address
-- FANTASIA MIDORI HARRIS FNP
1380 RIVER BEND DR
DALLAS, TX 75247-4914
Phone number: 214-743-6159
Mailing Address
-- FANTASIA MIDORI HARRIS FNP
1380 RIVER BEND DR
DALLAS, TX 75247-4914
Phone number: 214-743-6159