Provider Demographics
NPI:1477530434
Name:TEER, JANICE M (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:M
Last Name:TEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 HIGHWAY 3 S
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3755
Mailing Address - Country:US
Mailing Address - Phone:281-332-6573
Mailing Address - Fax:281-332-7409
Practice Address - Street 1:302 HIGHWAY 3 S
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3755
Practice Address - Country:US
Practice Address - Phone:281-332-6573
Practice Address - Fax:281-332-7409
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX115123502Medicaid
TX88V593Medicare ID - Type Unspecified
TX115123502Medicaid