Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA LYNN MICOTTO, M.D.
Active Sole ProprietorTERESA LYNN MICOTTO, M.D. is a 2083A0100X healthcare provider located in JBSA LACKLAND, Texas. NPI 1932580388 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1932580388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2015 (11.136873449022 yrs)
- Last Updated
- Oct 10, 2023
- Licenses
-
29639 (NE)29639 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 WILFORD HALL LOOPATTN: 59 MDW/SGHCJBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102929556
- Primary Specialty
-
2083A0100X
2083A0100X
- Additional Specialty
- 2083A0100X
Other 2083A0100X Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. GARRY SCOTT MOORE | MD | 1427039510 |
| DR. KIMBERLY BRADLEY | D.O. | 1841275153 |
| DR. CHARLES RAY FISHER JR. | M.D. | 1215907019 |
| DR. GERALD W. SABOE | D.O., M.P.H. | 1083716062 |
| DR. MICHAEL EARL FREY | M.D. | 1710034582 |
| MICHAEL MADRID | M.D. | 1851513444 |
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.