Individual
TERI NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2203 W. 35TH STREET, AUSTIN, TX 78703
(512) 374-6949
(512) 374-6080
Mailing address
2203 W. 35TH STREET, AUSTIN, TX 78703
(512) 374-6949
(512) 374-6080
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
568265
TX
Other
Enumeration date
06/14/2006
Last updated
06/12/2014
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