Individual
TERESSA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9126 COUNTY ROAD 310, TERRELL, TX 75161-7104
(972) 835-3762
Mailing address
9126 COUNTY ROAD 310, TERRELL, TX 75161-7104
(972) 835-3762
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
636194
TX
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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