Individual
KIELE TERESA MOHRE REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236
(210) 292-7520
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, LACKLAND AFB, TX 78236
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208938
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2023
Last updated
12/30/2024
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