Provider Demographics
NPI:1740660828
Name:CURINGTON, TERI (AGNP)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:
Last Name:CURINGTON
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 W DUVAL ST
Mailing Address - Street 2:
Mailing Address - City:TROUP
Mailing Address - State:TX
Mailing Address - Zip Code:75789-1817
Mailing Address - Country:US
Mailing Address - Phone:903-842-3018
Mailing Address - Fax:903-842-0199
Practice Address - Street 1:705 W DUVAL ST
Practice Address - Street 2:
Practice Address - City:TROUP
Practice Address - State:TX
Practice Address - Zip Code:75789-1817
Practice Address - Country:US
Practice Address - Phone:903-842-3018
Practice Address - Fax:903-842-0199
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127902363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology