Individual
THERESA M. ANAYA
Active
Individual
THERESA M. ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
93-192
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015964330001
—
PA
05
—
054653302
—
TX
05
—
06206
—
NM
05
—
0958074
—
IA
05
—
1-Z7176
—
UT
05
—
162735
—
AZ
05
—
1682900
—
LA
05
—
203955
—
OR
05
—
208513101
—
MO
05
—
6700322
—
VA
05
—
91931923
—
CO
05
—
XPY184605
—
CA
Enumeration date
10/03/2006
Last updated
12/09/2024
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