Individual provider · NPI-1

Tera Baggs, lvn

Licensed Practical Nurse · Arlington, TX

NPI number1295235869
StatusActive
Last updated in NPPESFeb 20, 2018

Details

NPI
1295235869
Entity type
Individual (NPI-1)
Name
Tera Baggs
Credential
lvn
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 20, 2018
Last updated
Feb 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse211720TXYes

Other names

  • Tera Casillas (Former Name)

Practice location

2106 Valley Ln
Arlington, TX 76013-1451

Phone 940-642-2985

Mailing address

2106 Valley Ln
Arlington, TX 76013-1451

Is something wrong?

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