Provider Demographics
NPI:1326006560
Name:HARMAN, NAOMI REGINA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:REGINA
Last Name:HARMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N RIDGEWAY DR STE 195
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-5156
Mailing Address - Country:US
Mailing Address - Phone:817-774-2123
Mailing Address - Fax:817-774-2128
Practice Address - Street 1:505 N RIDGEWAY DR
Practice Address - Street 2:STE 195
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-5118
Practice Address - Country:US
Practice Address - Phone:817-774-2123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5722207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI23904Medicare UPIN