Provider Demographics
NPI:1760145015
Name:NARVAEZ, HARLEY SAMANTHA
Entity type:Individual
Prefix:
First Name:HARLEY
Middle Name:SAMANTHA
Last Name:NARVAEZ
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 1:6221 CHAPEL HILL BLVD STE 300-B
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6388
Mailing Address - Country:US
Mailing Address - Phone:469-355-4952
Mailing Address - Fax:
Practice Address - Street 1:6221 CHAPEL HILL BLVD STE 300-B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6388
Practice Address - Country:US
Practice Address - Phone:469-777-4691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2025-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1193635363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health