Healthcare Provider Details

I. General information

NPI: 1659315661
Provider Name (Legal Business Name): TERESSA ANNETTE DYSON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5327 N CENTRAL EXPY SUITE 200
DALLAS TX
75205-3361
US

IV. Provider business mailing address

5100 SANDY CT
MCKINNEY TX
75070-9302
US

V. Phone/Fax

Practice location:
  • Phone: 903-815-9390
  • Fax: 972-540-0733
Mailing address:
  • Phone: 903-815-9390
  • Fax: 972-540-0733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number525603
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: