Individual
JOHN TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
TEXAS TECH UNIVERSITY HEALTH SCIENCES CTR, 3601 4TH STREET, MS 8182, LUBBOCK, TX 79430-0001
(806) 743-2981
(806) 743-2982
Mailing address
TEXAS TECH UNIVERSITY HEALTH SCIENCES CTR, 3601 4TH STREET, MS 8182, LUBBOCK, TX 79430-0001
(806) 743-2981
(806) 743-2982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
672425
TX
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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