Provider Demographics
NPI:1033120589
Name:TEAGUE, ANNAPURNI B (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNAPURNI
Middle Name:B
Last Name:TEAGUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNAPURNI
Other - Middle Name:B
Other - Last Name:RAGAVENDRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2002, HOLCOMBE BLVD
Mailing Address - Street 2:MICHAEL E DEBAKEY VAMC
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-794-8709
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-8709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ54502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry