Teague, Donna Ilene

Teague, Donna Ilene is an individual health care provider with primary practice located at 1500 Citywest Blvd Ste 300 , Houston TX 77042. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Teague, Donna Ilene can be contacted via phone (713) 620-4000.

Contact Information

Primary practice address
1500 Citywest Blvd Ste 300 Houston TX 77042
Phone: (713) 620-4000
Fax: (713) 458-4229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02712 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02712 Texas

Profile Details

NPI number 1629027461
LBN Legal business name Teague, Donna Ilene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jun 6th, 2018 - about 6 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 1629027461 NPPES
Texas MEDICAID 194814301

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