Teresa M. Elliott,Mdpa

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

F5194 Issued in TX

Legal business name

TERESA M. ELLIOTT,MDPA

Practice address

12801 Midway Rd
Suite 217
Dallas, TX 75244-6813

Phone

(214) 361-5070

Fax

(972) 241-5075

NPI assigned

Nov 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Teresa Marie Elliott, MD

Title

President

Phone

(214) 361-5070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1831344381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 MIDWAY RD",
            "address_2": "SUITE 217",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446813",
            "telephone_number": "214-361-5070",
            "fax_number": "972-241-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 MIDWAY RD",
            "address_2": "SUITE 217",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446813",
            "telephone_number": "214-361-5070",
            "fax_number": "972-241-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA M. ELLIOTT,MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-361-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "F5194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "00013Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey W Tepper, LCSW
• Lance Terada, M.D.
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• Stephanie Yuko Terauchi, M.D.
• Tihana Tercek, BCBA
• James John Terfruchte, M.D.
• Terliora Health Services LLC
• Cesar Termulo Jr., MD
• Shannon Lynn Roden Ternan, M.D.
• Julianna Terranova

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.