Organization
TEACO PROVIDER NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAC VU (CEO)
(713) 272-8858
Entity
Organization
Contact information
Practice address
8278 BELLAIRE BLVD, SUITE A, HOUSTON, TX 77036
(713) 272-8858
Mailing address
8278 BELLAIRE BLVD, SUITE A, HOUSTON, TX 77036
(713) 272-8858
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
03/06/2020
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