Individual
ABBY NICOLE TEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 SETON PKWY STE 220, KYLE, TX 78640-6179
(512) 504-0877
Mailing address
1180 SETON PKWY STE 220, KYLE, TX 78640-6179
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143980
TX
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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