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Individual

DR. THERESA FELICIA EICHENWALD

Active
Find providers by NPI
Individual

DR. THERESA FELICIA EICHENWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L2230
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-60996
EVERCARE
05
146607002
TX
01
260341853001
TRICARE SOUTH
01
8BW701
BCBS OF TX
Enumeration date
09/13/2006
Last updated
10/02/2017
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