Individual
MRS. TERESA M SCOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2300 E 30TH ST STE 102, FARMINGTON, NM 87401-8990
(505) 609-6790
(505) 599-4640
Mailing address
2300 E 30TH ST STE 102, FARMINGTON, NM 87401-8990
(505) 609-6790
(505) 599-4640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002096
IA
363A00000X
Physician Assistant
2008002536
MO
363A00000X
Physician Assistant
Primary
PA07283
TX
363AM0700X
Medical Physician Assistant
002096
IA
363AM0700X
Medical Physician Assistant
2008002536
MO
363AM0700X
Medical Physician Assistant
PA07283
TX
363AM0700X
Medical Physician Assistant
Primary
PA2026-0052
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281943501
—
TX
Enumeration date
02/21/2008
Last updated
07/17/2026
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