Provider Demographics
NPI:1326236613
Name:TESSERAE GENETICS, INC.
Entity Type:Organization
Organization Name:TESSERAE GENETICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENETICIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCHEUERLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-566-6524
Mailing Address - Street 1:9702 VINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-3772
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:B240
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2505
Practice Address - Country:US
Practice Address - Phone:972-566-6524
Practice Address - Fax:480-772-4102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7656170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty