Provider Demographics
NPI:1215481544
Name:ROY, THERESA FRANCO (NP)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:FRANCO
Last Name:ROY
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 STATE HIGHWAY 121 STE 10001023
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-5812
Mailing Address - Country:US
Mailing Address - Phone:307-222-9604
Mailing Address - Fax:307-456-6089
Practice Address - Street 1:2800 STATE HIGHWAY 121 STE 10001023
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-5812
Practice Address - Country:US
Practice Address - Phone:307-222-9604
Practice Address - Fax:307-456-6089
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily