# THERESA LYNN HADDOX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477033868
- **Gender:** F
- **Credential:** NURSE PRACTITIONER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | AP142913 | TX | Yes |
| 251E00000X | Home Health Agency | — | — | — |

## Other

- **Enumeration date:** 08/15/2018
- **Last updated:** 05/29/2020