Individual
LUIS TERCEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
17101 DALLAS PKWY, ADDISON, TX 75001-7103
(254) 248-7459
Mailing address
17250 DALLAS PKWY, DALLAS, TX 75248-1136
(254) 248-7459
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
850630
TX
Other
Enumeration date
11/24/2018
Last updated
11/24/2018
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