Individual
MRS. TEISHA MARIE MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
4406 LEGENDS BAY DR, BAYTOWN, TX 77523-3516
(281) 728-3796
Mailing address
4406 LEGENDS BAY DR, BAYTOWN, TX 77523-3516
(281) 728-3796
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
TX
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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