Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEQUA MIMS
Active Sole ProprietorTEQUA MIMS is a Bus healthcare provider located in LAKELAND, Tennessee. NPI 1023374618 is currently active in the NPPES registry. Verify at CMS.
Bus · LAKELAND, TN
Registration Details
- NPI Number
- 1023374618
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2012 (14.34906698424 yrs)
- Last Updated
- Mar 2, 2022
- License
-
091404354 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6309 ALTHORP CVLAKELAND, TN, 380027005Browse TN providers · Browse ZIP 38002
- Phone
- 9014879653
- Fax
- 9018297766
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in LAKELAND, TN
| Name | Credential | NPI |
|---|---|---|
| CLYDE ERIC BROWN | — | 1598462780 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.