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Organization
TERESA H. KINSFATHER, D.O., P.A.
Active
Organization
TERESA H. KINSFATHER, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA H. KINSFATHER D.O. (D.O./OWNER)
(979) 542-4357
Entity
Organization
Contact information
Practice address
514 S MAIN ST, GIDDINGS, TX 78942-4118
(979) 542-4357
(979) 542-1010
Mailing address
PO BOX 390, GIDDINGS, TX 78942-0390
(979) 542-4357
(979) 542-1010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137322705
—
TX
Enumeration date
09/25/2012
Last updated
09/25/2012
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