Basic Information
| Provider Information | |||||||||
| NPI: | 1558794115 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AIMABLE HARRIS | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9563 BICKNELL SEDGE | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782542273 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8503808452 | ||||||||
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| Practice Location | |||||||||
| Address1: | WILFORD HALL AMBULATORY SURGICAL CENTER | ||||||||
| Address2: | 1100 WILFORD HALL LOOP, BLDG 4554 | ||||||||
| City: | JBSA-LACKLAND AFB | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782369908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106057000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2013 | ||||||||
| LastUpdateDate: | 10/13/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/28/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 19193 | MD | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.