Anderson, Teresa Loree

Anderson, Teresa Loree is an individual health care provider with primary practice located at 1280 S Main St , Grapevine TX 76051-7524. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Anderson, Teresa Loree can be contacted via phone (817) 421-3376.

Contact Information

Primary practice address
1280 S Main St Grapevine TX 76051-7524
Phone: (817) 421-3376
Fax: (817) 416-4269
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1861560617
LBN Legal business name Anderson, Teresa Loree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861560617 NPPES
Texas Other K0410 STATE LICENSE NUMBER

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