Individual
TERI LEE GLASCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-LPA
Contact information
Practice address
1307 MLK BLVD, LUBBOCK, TX 79403-5329
(806) 749-3800
(806) 749-3802
Mailing address
1307 MLK BLVD, LUBBOCK, TX 79403-5329
(806) 749-3800
(806) 749-3803
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
554499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018034105
—
TX
05
—
169875501
—
TX
Enumeration date
10/17/2006
Last updated
10/14/2025
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