MEDICARE: THERESA LYNN HADDOX NURSE PRACTITIONER

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
1	251E00000X	Home Health Agency
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	AP142913	TX

General Provider Information

NPI Number	:	1477033868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA LYNN HADDOX NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	333 LONDONDERRY DR STE 200
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-7930
Country	:	US
Telephone Number	:	254-751-9777
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 LONDONDERRY DR STE 200
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-7930
Country	:	US
Telephone Number	:	254-751-9777
Fax Number	:	254-751-9788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2018
Last Update Date	:	05/29/2020

Similar Medicare Providers

1003812595 — NIRAN JAN AMAR M.D.
Practice Location Address:

333 LONDONDERRY DR , STE 100
WACO, TX
76712-7930

Practice Phone: 254-751-1144
Practice Fax: 254-751-1185

1578075081 — LIGIA LIANA TOFANEL FNP
Practice Location Address:

333 LONDONDERRY DR STE 200
WACO, TX
76712-7930

Practice Phone: 254-751-9777
Practice Fax: 254-751-9788

1629414065 — SHANNON GARITTY MD
Practice Location Address:

205 WOODHEW DR STE 220
WACO, TX
76712-6679

Practice Phone: 254-245-9175
Practice Fax:

1528606357 — ESMPT, LLC
Practice Location Address:

7135 NEW SANGER AVE , SUITE 502
WACO, TX
76712

Practice Phone: 254-325-9817
Practice Fax: 254-754-2667

1457884306 — ADAM BEYER D.O.
Practice Location Address:

50 HILLCREST MEDICAL BLVD STE 303
WACO, TX
76712-8955

Practice Phone: 254-202-0480
Practice Fax: 254-202-0488

1841293016 — RUSSELL E SWANN M.D.
Practice Location Address:

201 LONDONDERRY DR
WACO, TX
76712-7902

Practice Phone: 254-772-4499
Practice Fax: 254-772-4436

Directions to “ THERESA LYNN HADDOX NURSE PRACTITIONER” 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 © 2007-2025 (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.