Provider Demographics
NPI:1114979291
Name:BARROW, TERESA (PT)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:
Last Name:BARROW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 TOWN CENTER DR 200
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4389
Mailing Address - Country:US
Mailing Address - Phone:281-302-5560
Mailing Address - Fax:832-886-4117
Practice Address - Street 1:2415 TOWN CENTER DR 200
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4389
Practice Address - Country:US
Practice Address - Phone:281-302-5560
Practice Address - Fax:832-886-4117
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6930225100000X
TX1169317225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FAJ02OtherBCBS TX
TX441975ZRBAOtherMEDICARE