Individual
THERESA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
410 PAINTBRUSH TRL., LOCKHART, TX 78644
(512) 415-2592
Mailing address
410 PAINTBRUSH TRL., LOCKHART, TX 78644
(512) 415-2592
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1109871
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1109871
TX
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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