Individual
TERESA BURKE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
254644
TX
363LW0102X
Women's Health Nurse Practitioner
254644
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
AP122144
TX
Other
Enumeration date
02/23/2012
Last updated
12/02/2021
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