Provider Demographics
NPI:1588915706
Name:MACLEOD, TERESA TRAN (NP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:TRAN
Last Name:MACLEOD
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:28533 SPRING TRAILS RDG STE 125
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4355
Mailing Address - Country:US
Mailing Address - Phone:281-419-5993
Mailing Address - Fax:281-292-6248
Practice Address - Street 1:28533 SPRING TRAILS RDG STE 125
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4355
Practice Address - Country:US
Practice Address - Phone:281-419-5993
Practice Address - Fax:281-292-6248
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2018-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX680781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily