Teena Abraham
Individual provider Active NPI Family Nurse Practitioner · Coppell, TX
NPI 1164079737 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1164079737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP140385 (TX)
- Practice address
- 722 S Denton Tap Rd Ste 190
Coppell, TX 75019-4555 - Phone
- (972) 393-1200
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP140385 | TX | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP140385 | TX | Yes |
Addresses
Primary practice location
722 S Denton Tap Rd Ste 190
Coppell, TX 75019-4555
Mailing address
722 S Denton Tap Rd Ste 190
Coppell, TX 75019-4555
Other providers in Coppell, TX
- Amin Abbashar
- Ramzi Abbassi
- Abc Senior Solutions
- Abidecare Services LLC
- Renu Abraham
- Victor A Abrego
- Ace Psychiatry PLLC
- Alejandra Acosta
- Active Body Active Life, LLC
- Adair Allergy & Asthma Clinic, PA
All providers in Coppell, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.