Provider Demographics
NPI:1073685095
Name:TERAGUCHI, KARI JANE (MD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:JANE
Last Name:TERAGUCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:18018 OVERLOOK LOOP STE 105-307
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-1882
Mailing Address - Country:US
Mailing Address - Phone:917-533-8206
Mailing Address - Fax:
Practice Address - Street 1:14100 SAN PEDRO AVE STE 600
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4363
Practice Address - Country:US
Practice Address - Phone:210-281-8669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214610208000000X
TXV2579208000000X
NJ25MA07829800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV2579OtherSTATE OF TEXAS
NY214610OtherSTATE MEDICAL LICENSE NUM
NJ25MA07829800OtherSTATE OF NEW JERSEY