| Doctor Name: | MRS. THERESA M KALB |
| NPI Number: | 1003984782 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 334836 |
| Business Practice Address: | 3050 Regent Blvd Ste 100 Irving, TX - 750633196 |
| Business Phone Number: | 2146898067 |
| Business Fax Number: | 8665226596 |
| Mailing Address: | 409 High St 5, CHESTERTOWN |
| State: | MD |
| Postal Code: | 216201345 |
| Phone Number: | 6073511793 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 334836 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |