Provider Demographics
NPI:1255676151
Name:SAAVEDRA, TERESA GAIL (DO)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:GAIL
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:TERESA
Other - Middle Name:GAIL
Other - Last Name:MCDILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:10 PROVIDENCIA CT STE 3
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-7453
Mailing Address - Country:US
Mailing Address - Phone:956-413-6162
Mailing Address - Fax:833-992-1958
Practice Address - Street 1:10 PROVIDENCIA CT STE 3
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-7453
Practice Address - Country:US
Practice Address - Phone:956-413-6162
Practice Address - Fax:833-992-1958
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO2956207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine