Individual
TERESA J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CNS
Contact information
Practice address
825 THE TRAILS PKWY, HORSESHOE BAY, TX 78657-7107
(512) 787-1736
(505) 393-6051
Mailing address
825 THE TRAILS PKWY, HORSESHOE BAY, TX 78657-7107
(512) 787-1736
(505) 393-6051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
683001
TX
364S00000X
Clinical Nurse Specialist
Primary
683001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156421303
—
TX
Enumeration date
11/30/2006
Last updated
07/19/2023
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