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Lisette Harb

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1102 Barclay St, San Antonio, TX 78207-7161

PECOS Enrollment

Based on the most recent information from CMS, provider Lisette Harb is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1669193660
Provider Type
Individual
Full Name
Harb, Lisette
Credential
FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/7/2022
Last Updated
10/5/2022

Contact Information

Practice Location

1102 Barclay St, San Antonio, TX 78207-7161

(210) 233-7000

Unlisted Fax

Mailing Location

1102 Barclay St, San Antonio, TX 78207-7161

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1056690 Texas

Lisette Harb

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Salinas, Leslie Marie

Estrada, Brittany Ann

Cortinas, Mary

Rodriguez, Melissa

Thies, Marita Silvia

Porter, Vanessa Roy

Miller, Clarisa G

Santillan Rabe, Marian Esther

Soueid, Safaa

Solis, Juanita H.