Teresa Ann Bohannan
NPI #1770194532 in Forest Hill, Texas
Provider Information
- NPI Number
- 1770194532
- Entity Type
- Individual
- Name
- Teresa Ann Bohannan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 13, 2020
- Last Updated
- Sep 17, 2020
Practice Location
- Address
- 3725 DUTCH IRIS LN
- City
- Forest Hill
- State
- Texas
- ZIP Code
- 76140-7005
- Phone
- (817) 217-2869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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