Individual
TERESA E HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4118 POND HILL RD, SUITE 200, SHAVANO PARK, TX 78231-1281
(210) 692-3439
(210) 493-3444
Mailing address
12770 BANDERA RD, APT 111, HELOTES, TX 78023-4007
(907) 854-0562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP112853
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP112853
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1800
—
AK
Enumeration date
09/03/2006
Last updated
05/09/2024
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