Individual
MS. THERESA JEAN MENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3510 4TH ST, LUBBOCK, TX 79415-3329
(806) 472-3400
Mailing address
2804 N LOOP 249, LUBBOCK, TX 79415-1410
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
450339
TX
363LF0000X
Family Nurse Practitioner
AP108179
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP108179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425035-02
—
TX
Enumeration date
02/21/2007
Last updated
07/14/2023
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