Individual
DR. ELIZABETH ANN TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1101 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1302
(918) 577-3830
(918) 577-4808
Mailing address
1101 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1302
(918) 577-3830
(918) 577-4808
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
J1116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1116
TX LICENSE
TX
Enumeration date
04/04/2007
Last updated
04/21/2022
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