Individual
DR. TERATA ANN KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2122 RUFE SNOW DR STE 132, KELLER, TX 76248-5691
(817) 576-4050
(817) 796-1422
Mailing address
2122 RUFE SNOW DR STE 132, KELLER, TX 76248-5691
(817) 576-4050
(817) 796-1422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q6039
TX
2083P0901X
Public Health & General Preventive Medicine Physician
Q6039
TX
208D00000X
General Practice Physician
Primary
Q6039
TX
208VP0014X
Interventional Pain Medicine Physician
Q6039
TX
Other
Enumeration date
03/28/2011
Last updated
12/06/2024
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