Provider Demographics
NPI:1982020723
Name:TEELHOWARD, DORA CHRISTINE (RRT, RCP)
Entity Type:Individual
Prefix:MRS
First Name:DORA
Middle Name:CHRISTINE
Last Name:TEELHOWARD
Suffix:
Gender:F
Credentials:RRT, RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6813 GEYSER TRL
Mailing Address - Street 2:
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76137-6717
Mailing Address - Country:US
Mailing Address - Phone:817-750-2184
Mailing Address - Fax:
Practice Address - Street 1:6813 GEYSER TRL
Practice Address - Street 2:
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76137-6717
Practice Address - Country:US
Practice Address - Phone:817-750-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX757322279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation