Individual
MS. TERRIONE TRAVELL FAGGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 KINGWOOD MEDICAL DR STE A450, KINGWOOD, TX 77339-6027
(210) 447-0039
Mailing address
9314 RYDER DR, SAN ANTONIO, TX 78254-2000
(210) 447-0039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
1710I1003X
Independent Duty Medical Technicians
Primary
1710I1003X
TX
Other
Enumeration date
03/26/2026
Last updated
03/31/2026
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