SearchTexas363A00000X

Jon Teacle, PAC

NPI 1174591242 · on the registry since 2006

Practice

Address
2803 Earl Rudder Fwy S Ste 103
College Station, TX 77845
Phone
(979) 731-8888
Fax
(979) 731-8848
Clinicians at this address
12

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas