# TERESA H. KINSFATHER, D.O., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538410956
- **Authorized official:** TERESA H. KINSFATHER D.O. (D.O./OWNER)
- **Authorized official phone:** (979) 542-4357

## Contact information

- **Practice address:** 514 S MAIN ST, GIDDINGS, TX 78942-4118
- **Practice address phone:** (979) 542-4357
- **Practice address fax:** (979) 542-1010
- **Mailing address:** PO BOX 390, GIDDINGS, TX 78942-0390
- **Mailing address phone:** (979) 542-4357
- **Mailing address fax:** (979) 542-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2012
- **Last updated:** 09/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 137322705 | — | TX |