# TERESA MARESH

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

## Provider details

- **NPI number:** 1629019989
- **Authorized official:** MR. TERESA PERPETUA MARESH (CRNA)
- **Authorized official phone:** (432) 288-2194

## Contact information

- **Practice address:** 1913 GLADEWOOD DR, MIDLAND, TX 79707-5052
- **Practice address phone:** (432) 288-2194
- **Mailing address:** 1913 GLADEWOOD DR, MIDLAND, TX 79707-5052
- **Mailing address phone:** (432) 288-2194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 710725 | TX | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 07/08/2008