Provider Demographics
NPI:1316416720
Name:HARBAWI, SAMER
Entity Type:Individual
Prefix:
First Name:SAMER
Middle Name:
Last Name:HARBAWI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 INDEPENDENCE PKWY APT 1205
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-4042
Mailing Address - Country:US
Mailing Address - Phone:469-452-9920
Mailing Address - Fax:
Practice Address - Street 1:6400 INDEPENDENCE PKWY APT 1205
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-4042
Practice Address - Country:US
Practice Address - Phone:469-452-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX956137163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse