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NPI Code Detail

MEDICARE: KANEISHA D TEAGUE NP

MEDICARE: KANEISHA D TEAGUE NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1027480TX
2171M00000XCase Manager/Care Coordinator694339TX

General Provider Information

NPI Number : 1083180608
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANEISHA D TEAGUE NP
Provider Business Mailing Address
First Line : 5850 SAN FELIPE ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77057-8003
Country : US
Telephone Number : 281-946-7238
Fax Number : 281-828-0680
Provider Business Practice Location Address
First Line : 5850 SAN FELIPE ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77057-8003
Country : US
Telephone Number : 281-946-7283
Fax Number : 281-828-0680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2018
Last Update Date : 01/05/2026

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Directions to “ KANEISHA D TEAGUE NP” Practice Location

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