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Individual

DR. KARI JANE TERAGUCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14100 SAN PEDRO AVE STE 600, SAN ANTONIO, TX 78232-4363
(210) 281-8669
Mailing address
18018 OVERLOOK LOOP STE 105-307, SAN ANTONIO, TX 78259-1882
(917) 533-8206

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
214610
NY
208000000X
Pediatrics Physician
25MA07829800
NJ
208000000X
Pediatrics Physician
Primary
V2579
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214610
STATE MEDICAL LICENSE NUM
NY
01
25MA07829800
STATE OF NEW JERSEY
NJ
01
V2579
STATE OF TEXAS
TX
Enumeration date
11/14/2006
Last updated
05/08/2025
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