Provider Demographics
NPI:1881072007
Name:DAY, THERESA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:ANN
Last Name:DAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:THERESA
Other - Middle Name:ANN
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:TEXAS CITY VA CLINIC
Mailing Address - Street 2:9300 EMMETT F LOWRY EXPRESSWAY, SUITE 206
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2134
Mailing Address - Country:US
Mailing Address - Phone:409-986-2900
Mailing Address - Fax:409-986-2900
Practice Address - Street 1:TEXAS CITY VA CLINIC
Practice Address - Street 2:9300 EMMETT F LOWRY EXPRESSWAY, SUITE 206
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2134
Practice Address - Country:US
Practice Address - Phone:409-986-2900
Practice Address - Fax:409-986-2900
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU1177207QG0300X
CA147515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine