# TLRFIO2

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skin ReGen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467285189
- **Authorized official:** TERESA MICHELLE RUDD NP (PROVIDER)
- **Authorized official phone:** (210) 269-1849

## Contact information

- **Practice address:** 464 REDBUD LN, PIPE CREEK, TX 78063-5950
- **Practice address phone:** (210) 269-1849
- **Mailing address:** 8823 PALOMINO PONY, SAN ANTONIO, TX 78254-6380
- **Mailing address phone:** (210) 753-7787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2024
- **Last updated:** 10/21/2025