MARK TEAGUE (NPI# 1205163383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205163383 |
Entity Type | Individual |
Full Name | MARK TEAGUE |
Credential | FNP |
Practice Address |
11515 Fm 1960 Huffman TX 77336-4431 |
Mailing Address |
331 County Road 6512 Dayton TX 77535-9574 |
Practice Telephone | 2813241551 |
Enumeration Date | 2009-11-10 |
Last Update Date | 2016-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
605635 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861496648 | Mark W Teague | Pathology | 2331 Seminole Ln, Ste 102, Charlottesville, VA 22901-8319 | 2005-06-09 |
1679072953 | Mark Teague | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4407 | 2018-02-01 |
Street Address |
11515 FM 1960 |
City | HUFFMAN |
State | TX |
Zip Code | 77336-4431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891081154 | Dj Quality Care LLC | Nurse Practitioner | 11515 East Fm 1960, Ste C, Huffman, TX 77336 | 2011-06-24 |
1346427291 | Eastlake Radiology LLC | Clinic/Center | 11605 Fm 1960 E, Huffman, TX 77336 | 2008-01-23 |
1407310824 | Huffman Smiles Pllc | Dentist | 24110 Fm 2100 Rd, Huffman, TX 77336-2636 | 2019-01-30 |
1558718445 | Huffman Volunteer Fire Dpartment | Ambulance | 24141 Fm 2100 Rd, Huffman, TX 77336-2637 | 2016-05-20 |
1114069945 | Huffman Independent School District | Local Education Agency (LEA) | 24302 Fm 2100, Huffman, TX 77336-2657 | 2007-02-12 |
1417368119 | Richard Garner | Specialist/Technologist, Other | 23019 Fm 2100 Rd, Huffman, TX 77336-2678 | 2014-05-15 |
1881870384 | Huffman Chiropractic, P.a. | Clinic/Center | 319 Blue Tail Dr, Huffman, TX 77336-2801 | 2008-01-14 |
1215401021 | Tiffany Scott | Occupational Therapy Assistant | 331 Fall Creek Dr, Huffman, TX 77336-2887 | 2019-01-15 |
1962549741 | Laura Wells Von Kanel | Registered Nurse | 27518 Calvin Rd, Huffman, TX 77336-2901 | 2007-01-31 |
1306281811 | Kayleigh Newman | Technician, Other | 7 Thomas Ln, Huffman, TX 77336-3006 | 2013-05-10 |
Find all providers in zip 77336 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588210033 | Mary Danielle Milligan | Nurse Practitioner | 1910 Iron Ore Dr, Huffman, TX 77336-4132 | 2019-08-12 |
1902257736 | Rachelle Wheeler | Nurse Practitioner | 11515 Fm 1960 # C, Huffman, TX 77336-4431 | 2016-06-22 |
1619242468 | Jackie Wurtz Fnp, Inc. | Nurse Practitioner | 11515 Fm 1960 Rd, Suite C, Huffman, TX 77336-4431 | 2012-03-13 |
1891081154 | Dj Quality Care LLC | Nurse Practitioner | 11515 East Fm 1960, Ste C, Huffman, TX 77336 | 2011-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.