| Tlrfio2 | |
|
464 Redbud Ln Pipe Creek TX 78063-5950 | |
| (210) 269-1849 | |
| Not Available |
| Full Name | Tlrfio2 |
|---|---|
| Speciality | General Practice |
| Location | 464 Redbud Ln, Pipe Creek, Texas |
| Authorized Official Name and Position | Teresa Michelle Rudd (PROVIDER) |
| Authorized Official Contact | 2102691849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlrfio2 8823 Palomino Pony San Antonio TX 78254-6380 Ph: (210) 753-7787 | Tlrfio2 464 Redbud Ln Pipe Creek TX 78063-5950 Ph: (210) 269-1849 |
| NPI Number | 1467285189 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/20/2024 |
| Medicare PECOS PAC ID | 9335670546 |
|---|---|
| Medicare Enrollment ID | O20240930000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467285189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Teresa Michelle Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154863082 PECOS PAC ID: 8123309911 Enrollment ID: I20170110002910 |
Healing Hands Family Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2159 Timbercreek Rd, Pipe Creek, TX 78063 Phone: 210-382-8213 |