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NPI Code Detail

MEDICARE: TERESA LEA TURGEON PA

MEDICARE: TERESA LEA TURGEON PA
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
1363A00000XPhysician Assistant1337NE
2363A00000XPhysician Assistant1500344KS
3363A00000XPhysician AssistantPA.0004378CO
4363A00000XPhysician Assistant073544IA
5363A00000XPhysician AssistantPA02648TX

General Provider Information

NPI Number : 1093796567
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA LEA TURGEON PA
Provider Business Mailing Address
First Line : 660 GOLDEN RIDGE RD STE 250
Second Line :
City : GOLDEN
State : CO
Zip : 80401-9541
Country : US
Telephone Number : 303-332-1223
Fax Number :
Provider Business Practice Location Address
First Line : 141 INDUSTRIAL AVE
Second Line :
City : AZLE
State : TX
Zip : 76020-2901
Country : US
Telephone Number : 817-444-3231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 10/04/2023

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Directions to “ TERESA LEA TURGEON PA” Practice Location

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