Provider Demographics
NPI:1770829269
Name:HARVEY, MEGAN ERIN (NP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ERIN
Last Name:HARVEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 MEDICAL DISTRICT DR
Mailing Address - Street 2:MAILSTOP C11.01
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7701
Mailing Address - Country:US
Mailing Address - Phone:214-456-7349
Mailing Address - Fax:214-456-7356
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:MAILSTOP C11.01
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-7349
Practice Address - Fax:214-456-7356
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122727363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics