Individual
TERESA L CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
9250 AMBERTON PKWY, DALLAS, TX 75243-3224
(682) 236-3656
Mailing address
9250 AMBERTON PKWY, DALLAS, TX 75243-3224
(682) 236-3656
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP111228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161086702
—
TX
05
—
161086703
—
TX
05
—
161086704
—
TX
05
—
161086705
—
TX
05
—
161086707
—
TX
05
—
161086708
—
TX
05
—
161086709
—
TX
Enumeration date
07/26/2006
Last updated
12/08/2020
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