TERESA DIANE SMOOT

CANYON, TX
NPI1215433941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP137113)
Enumeration Date2018-04-02
Last Update Date2018-04-02
Business Address
TERESA DIANE SMOOT
2403 RUSSELL LONG BLVD
CANYON, TX 79016-0005
Phone number: 806-651-4100
Mailing Address
TERESA DIANE SMOOT
2403 RUSSELL LONG BLVD
CANYON, TX 79016-0005
Phone number: 806-651-4100