Jaclyn H Harrison (NPI# 1760616163, PAC ID# 1254583438) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760616163 |
| PAC ID by PECOS | 1254583438 |
| Professional Enrollment ID | I20121217000059 |
| Full Name | Jaclyn H Harrison |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Address |
1900 N Loop W 580 Gc Jhmd Houston Office Houston TX 77018-8163 |
| Phone Number | 7137145376 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4688999022 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| 450035 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 N Loop W, 580 Gc Jhmd Houston Office, Houston, TX 77018-8163 | 7137145376 | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| 7900 Fannin St, Suite 4000, Houston, TX 77054-2935 | 7135127500 | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Physicians | 191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayden B Mcneill | Physician Assistant | Privia Medical Group Gulf Coast Pllc | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 |
| Erika Crate | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 1674 W Baker Rd, Suite A, Baytown, TX 77521-2285 |
| Megan Lynette Craig | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 8000 Research Forest Dr, Suite 360, The Woodlands, TX 77382-1559 |
| Georjene Parker | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 210 E Houston St, Gc_leh_cleveland Office, Cleveland, TX 77327-4512 |
| Billie Botello | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 11040 E Fwy, Houston, TX 77029-1931 |
| Joy Leblanc | Obstetrics/gynecology | Privia Medical Group Gulf Coast Pllc | 7900 Fannin St, Suite 4000, Houston, TX 77054-2935 |
| Terah C Isaacson | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 1900 N Loop W, 580 Gc Jhmd Houston Office, Houston, TX 77018-8163 |
| Alice A Lim | Family Medicine | Privia Medical Group Gulf Coast Pllc | 7814 Bellaire Blvd, Houston, TX 77036-4936 |
| Patricia A Henry | Registered Dietitian Or Nutrition Professional | Privia Medical Group Gulf Coast Pllc | 10333 Kuykendahl Rd, Suite B, The Woodlands, TX 77382-2878 |
| Daniel L Howell | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 7105 Lawndale St, Houston, TX 77023-4248 |
| Street Address |
1900 N LOOP W 580 GC JHMD HOUSTON OFFICE |
| City | HOUSTON |
| State | TX |
| Zip | 77018-8163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terah C Isaacson | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 1900 N Loop W, 580 Gc Jhmd Houston Office, Houston, TX 77018-8163 |
| Rajesh Rethnam | Pulmonary Disease | 1900 N Loop W, Suite 590, Houston, TX 77018-8119 | |
| Harsad D Patel | Gastroenterology | G I Specialists of Houston, LLP | 1900 N Loop W, Suite 390, Houston, TX 77018-8148 |
| Dharmendra Kumar | Psychiatry | 1900 N Loop W, Suite 220, Houston, TX 77018-8100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon A Smith | Obstetrics/gynecology | 2010 N Loop W, Suite 260, Houston, TX 77018 | |
| Silvio Bruna | Chiropractic | 5011 N Shepherd Dr, Houston, TX 77018-1436 | |
| Ranjan S Patel | Family Medicine | 5012 N Shepherd Dr, Houston, TX 77018-1625 | |
| Ralph M Mancini | Physical Medicine and Rehabilitation | West Houston Rehabilitation Associates, P.a. | 1044 Candlelight Ln, Houston, TX 77018-2004 |
| Shawna K Hudson | Chiropractic | 1820 -1 W 43rd St, Houston, TX 77018-3006 | |
| Ashley D Hollins | Nurse Practitioner | Take Care Health Texas PC | 1215 W 43rd St, Take Care Health Services, Houston, TX 77018-4203 |
| Esther M Kovacs | Optometry | 1229 W 43rd St, Houston, TX 77018-4203 | |
| Ivanola J Hauck | Nurse Practitioner | Take Care Health Texas PC | 1215 W 43rd St, Take Care Health Services, Houston, TX 77018-4203 |
| Alexis E Hayes | Nurse Practitioner | Take Care Health Texas PC | 1215 W 43rd St, Take Care Health Services, Houston, TX 77018-4203 |
| Jamie T Tran | Physician Assistant | Take Care Health Texas PC | 1215 W 43rd St, Take Care Health Services, Houston, TX 77018-4203 |
| Find all physicians in zip 77018 | |||
| City | HOUSTON |
| Zip Code | 77018 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOUSTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jaclyn H Harrison.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.