Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP122036 | TX |
NPI | 1043565815 |
---|---|
Provider Name | Veronica Teran |
First Address | Denton, TX 76207-3318 |
Second Address | Plano, TX 75074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 20/08/2018 |