Menzel, Theresa Jean

Menzel, Theresa Jean is an individual health care provider with primary practice located at 3510 4Th St , Lubbock TX 79415-3329. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Menzel, Theresa Jean can be contacted via phone (806) 472-3400.

Contact Information

Primary practice address
3510 4Th St Lubbock TX 79415-3329
Phone: (806) 472-3400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP108179 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 450339 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP108179 Texas

Profile Details

NPI number 1831234376
LBN Legal business name Menzel, Theresa Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831234376 NPPES
Texas MEDICAID 0425035-02

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