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Individual

DR. THERESA MYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
166 PRIVATE ROAD 5604, EAST TAWAKONI, TX 75472-7507
(214) 506-3663
(408) 715-2749
Mailing address
61 ONONDAGA AVE STE 2, SAN FRANCISCO, CA 94112-3241
(415) 725-0469
(408) 715-2749

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A98522
CA
208D00000X
General Practice Physician
V3389
TX
261QP2300X
Primary Care Clinic/Center
A98522
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
V3389
TEXAS MEDICAL BOARD
TX
Enumeration date
02/15/2007
Last updated
05/06/2026
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