Provider Demographics
NPI:1093206302
Name:TERI CURINGTON CONSULTING, LLC
Entity Type:Organization
Organization Name:TERI CURINGTON CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CURINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP
Authorized Official - Phone:903-738-1479
Mailing Address - Street 1:430 S MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:GILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75644-2518
Mailing Address - Country:US
Mailing Address - Phone:903-738-1479
Mailing Address - Fax:903-680-2134
Practice Address - Street 1:1026 E GOODE ST
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:TX
Practice Address - Zip Code:75783-1641
Practice Address - Country:US
Practice Address - Phone:903-845-2175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127902363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty