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Teresa Diane Smoot
Family Nurse Practitioner in Canyon, Texas
NPI 1215433941

Teresa Diane Smoot is a Family Nurse Practitioner based in Canyon, TX and is specialized in Family. Teresa Diane Smoot practices in Canyon, TX. The NPI Number for Teresa Diane Smoot is 1215433941 and holds a License No. AP137113 (Texas).

The current practice location address for Teresa Diane Smoot is 2403 Russell Long Blvd, Canyon, TX and can be reached out via phone at 806-651-4100.

Location: 2403 Russell Long Blvd, Canyon, TX, 79016-0005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215433941
Provider Name
Teresa Diane Smoot
Credential
Provider Entity Type
Individual
Gender
Female
Address
2403 Russell Long Blvd, Canyon, TX, 79016-0005
Phone Number
806-651-4100
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2403 Russell Long Blvd
City
Canyon
State
Texas
Zip
79016-0005
Phone Number
806-651-4100
Fax Number
person
Provider Business Mailing Address Details
Address
2403 Russell Long Blvd
City
Canyon
State
Texas
Zip
79016-0005
Phone Number
806-651-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP137113 (Texas)
Definition
Definition to come...
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