Basic Information
Provider Information
NPI: 1508361866
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TENG
FirstName: CATHERINE
MiddleName: LIPING
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TENG
OtherFirstName: LIPING
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 4502 MEDICAL DR
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294402
CountryCode: US
TelephoneNumber: 2103584000
FaxNumber:  
Practice Location
Address1: 4502 MEDICAL DR
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294402
CountryCode: US
TelephoneNumber: 2103584000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2018
LastUpdateDate: 08/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/30/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XT6055TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XT6055TXY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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