Provider Demographics
NPI:1720380926
Name:HALE, TERESA LYNN (MSN, RN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:LYNN
Last Name:HALE
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Gender:F
Credentials:MSN, RN, PMHNP-BC
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Mailing Address - Street 1:PO BOX 2303
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-2303
Mailing Address - Country:US
Mailing Address - Phone:714-581-8793
Mailing Address - Fax:866-518-3010
Practice Address - Street 1:4544 POST OAK PLACE DR
Practice Address - Street 2:SUITE 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3161
Practice Address - Country:US
Practice Address - Phone:713-581-8793
Practice Address - Fax:866-518-3010
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX754135363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health