Individual
J TEIG PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2822 N BELT LINE RD STE 200, SUNNYVALE, TX 75182-9321
(972) 288-3331
(972) 288-3340
Mailing address
2822 N BELT LINE RD STE 200, SUNNYVALE, TX 75182-9321
(972) 288-3331
(972) 288-3340
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K9393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096417303
—
TX
01
—
200041898
PALMETTO GBA
TX
Enumeration date
02/15/2006
Last updated
10/08/2024
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