Provider Demographics
NPI:1700298668
Name:DAILEY, TEENA (LNFA)
Entity Type:Individual
Prefix:
First Name:TEENA
Middle Name:
Last Name:DAILEY
Suffix:
Gender:F
Credentials:LNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7803 S NEW BRAUNFELS
Mailing Address - Street 2:APT. 13106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78235-1025
Mailing Address - Country:US
Mailing Address - Phone:830-391-7820
Mailing Address - Fax:
Practice Address - Street 1:7803 S NEW BRAUNFELS
Practice Address - Street 2:APT. 13106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78235-1025
Practice Address - Country:US
Practice Address - Phone:830-391-7820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator