Individual
MRS. TERESA D. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19500 IH 10 W STOP 1-3030, SAN ANTONIO, TX 78257-9509
(210) 955-6729
(877) 479-3805
Mailing address
19500 IH 10 W STOP 1-3030, SAN ANTONIO, TX 78257-9509
(210) 955-6729
(877) 479-3805
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
678104
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP115942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275671YMVU
WELLMED NETWORKS INC
TX
01
—
TXB161964
WELLMED MEDICAL GROUP PA
—
Enumeration date
03/03/2008
Last updated
09/26/2023
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