Organization
TERESA LOERA LLC
Active
Other names
TL Family Nurse Practice
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BEGAY NP (NP)
(480) 652-9802
Entity
Organization
Contact information
Practice address
4150 W PEORIA AVE STE 122, PHOENIX, AZ 85029-3951
(602) 918-3225
Mailing address
4150 W PEORIA AVE STE 122, PHOENIX, AZ 85029-3951
(602) 918-3225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
06/30/2020
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