Individual
MS. TERESA ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCM
Contact information
Practice address
1204 CHEYENNE DRIVE, DESOTO, TX 75115
(214) 642-5457
Mailing address
1204 CHEYENNE DRIVE, DESOTO, TX 75115
(214) 642-5457
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
657696
TX
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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