Provider Demographics
NPI:1639827991
Name:TEOPE, FRANCISCO R JR
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:R
Last Name:TEOPE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14214 ENZO CT
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-6309
Mailing Address - Country:US
Mailing Address - Phone:814-431-9978
Mailing Address - Fax:
Practice Address - Street 1:14214 ENZO CT
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-6309
Practice Address - Country:US
Practice Address - Phone:814-431-9978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95175721163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse