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Dr. Teresa Loree Anderson, MD
Specialist in Grapevine, Texas
NPI 1861560617

Teresa Loree Anderson is a Specialist based in Grapevine, TX. Teresa Loree Anderson practices in Grapevine, TX and has the professional credentials of MD. The NPI Number for Teresa Loree Anderson is 1861560617 and holds a License No. (Texas).

The current practice location address for Teresa Loree Anderson is 1280 S Main St, Grapevine, TX and can be reached out via phone at 817-421-3376 and via fax at 817-416-4269.

Location: 1280 S Main St, Grapevine, TX, 76051-7524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861560617
Provider Name
Teresa Loree Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1280 S Main St, Grapevine, TX, 76051-7524
Phone Number
817-421-3376
Fax Number
817-416-4269
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K0410 01 TX STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1280 S Main St
City
Grapevine
State
Texas
Zip
76051-7524
Phone Number
817-421-3376
Fax Number
817-416-4269
person
Provider Business Mailing Address Details
Address
1280 S Main St
City
Grapevine
State
Texas
Zip
76051-7524
Phone Number
817-421-3376
Fax Number
817-416-4269
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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