Provider Demographics
NPI:1891059911
Name:ADAMS, TARALEE ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:TARALEE
Middle Name:ANN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:TARALEE
Other - Middle Name:ANN
Other - Last Name:KEMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12020 CULEBRA RD # 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6478
Mailing Address - Country:US
Mailing Address - Phone:210-436-8400
Mailing Address - Fax:833-452-1052
Practice Address - Street 1:12020 CULEBRA RD # 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6478
Practice Address - Country:US
Practice Address - Phone:210-436-8400
Practice Address - Fax:833-452-1052
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60582145207Q00000X
TXT7471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine