Most Relevant Information
Provider Data
| NPI Number: | 1003314899 |
| Provider Name: | GRACE THERESA HARKNESS |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/26/2018 |
| Last Updated: | 03/06/2020 |
Provider Practice Location
1500 S UNIVERSITY PARKS DR
WACO
TX
767061731
Practice Location Phone/Fax
| Phone: | 6095324338 |
| Fax: |
Provider Mailing Location
2255 S UNIVERSITY PARKS DR APT 25B
WACO
TX
767066599
Provider Mailing Phone/Fax
| Phone: | 6095324338 |
| Fax: |