(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003530254
Provider Name: KIVONDA HARRIS
Entity Type: Individual
Taxonomy Code: 172V00000X
Specialty: Community Health Worker
License Number:
Most Important Dates
Enumeration Date: 09/30/2022
Last Updated: 09/30/2022
Provider Practice Location
8915 HARRY HINES BLVD
DALLAS
TX
752351717
Practice Location Phone/Fax
Phone: 4697088311
Fax:
Provider Mailing Location
8915 HARRY HINES BLVD
DALLAS
TX
752351717
Provider Mailing Phone/Fax
Phone: 4697087311
Fax: