DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TEAYRA NICOLE DILLARD

MEDICARE: TEAYRA NICOLE DILLARD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1124955000
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEAYRA NICOLE DILLARD
Provider Business Mailing Address
First Line : 3153 DOTHAN ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38118-3515
Country : US
Telephone Number : 901-679-8425
Fax Number :
Provider Business Practice Location Address
First Line : 1101 W UNIVERSITY DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-1863
Country : US
Telephone Number : 248-601-4805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

Similar Medicare Providers

1740629989 — FELIX SUN-TEN YANG M.D.
Practice Location Address:
1101 W UNIVERSITY DR # 3-NORTH
ROCHESTER HILLS, MI
48307-1863
Practice Phone: 248-652-5000
Practice Fax:
1942664180 — DR. LINA MASSO M.D.
Practice Location Address:
1101 W UNIVERSITY DR
ROCHESTER HILLS, MI
48307-1863
Practice Phone: 248-652-5000
Practice Fax:
1700382827 — KRISTI Y WU MD
Practice Location Address:
1101 W UNIVERSITY DR
ROCHESTER HILLS, MI
48307-1863
Practice Phone: 248-601-4900
Practice Fax:
1871145771 — DR. DANYAL TAHERI ABKOUH MD
Practice Location Address:
1101 W UNIVERSITY DR
ROCHESTER HILLS, MI
48307-1863
Practice Phone: 248-601-4805
Practice Fax:
1295367100 — LAURA HEUGHENS
Practice Location Address:
1101 W UNIVERSITY DR
ROCHESTER HILLS, MI
48307-1863
Practice Phone: 248-652-5000
Practice Fax:
1841817434 — DR. ALDIN JEROME MD
Practice Location Address:
1101 W UNIVERSITY DR
ROCHESTER HILLS, MI
48307-1863
Practice Phone: 248-601-4805
Practice Fax:

Directions to “ TEAYRA NICOLE DILLARD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.