Individual
TERESA SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180-7371
(972) 404-6884
Mailing address
PO BOX 295305, LEWISVILLE, TX 75029-5305
(972) 404-6884
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA000146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017JR
BCBS
TX
01
—
SA00146
LICENSED SURGICAL ASST
TX
Enumeration date
04/30/2007
Last updated
04/01/2025
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