TAVARES LARON HARRIS

AUSTIN, TX
NPI1760016661
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN247042)
Enumeration Date2020-02-28
Last Update Date2020-02-28
Business Address
TAVARES LARON HARRIS PMHNP-BC
7901 METROPOLIS DR
AUSTIN, TX 78744-3111
Phone number: 254-778-4811
Mailing Address
TAVARES LARON HARRIS PMHNP-BC
1707 THE OAKS
CLARKSTON, GA 30021-1276
Phone number: