Individual provider · Type 1 NPI

Teresa Medlock, AGACNP

Acute Care Nurse Practitioner · Dallas, TX

NPI number 1730584889 Active

Practice location

6201 Harry Hines Blvd
Dallas, TX 75390-2571

Mailing address

PO Box 845347
Dallas, TX 75284-7208

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAP126721 (TN)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1730584889

Teresa Medlock, AGACNP's National Provider Identifier is 1730584889, issued on Oct 31, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Jun 10, 2026.