Provider Demographics
NPI:1942709068
Name:HARRIS-GARDEN, KARNA DAWN
Entity Type:Individual
Prefix:MS
First Name:KARNA
Middle Name:DAWN
Last Name:HARRIS-GARDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1151
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-1151
Mailing Address - Country:US
Mailing Address - Phone:512-844-3114
Mailing Address - Fax:
Practice Address - Street 1:18328 CATOCTIN DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4544
Practice Address - Country:US
Practice Address - Phone:512-844-3114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-04
Last Update Date:2018-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities