Individual
THERESA GREISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6102 82ND ST STE 10, LUBBOCK, TX 79424-0802
(806) 993-3333
Mailing address
3100 PREMIER DR STE 234, IRVING, TX 75063-2693
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-58018
BACB
TX
Enumeration date
08/09/2018
Last updated
08/09/2018
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