Individual
CARMELITA A. TEETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8910
(956) 421-2663
(956) 421-2418
Mailing address
6750 N MACARTHUR BLVD STE 270, IRVING, TX 75039-2469
(214) 496-9700
(214) 496-9707
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L4143
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
L4143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161080001
—
TX
01
—
8J8890
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/28/2006
Last updated
01/04/2022
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