| Doctor Name: | TERESA E HIRST |
| NPI Number: | 1578665030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | AP112853 |
| Business Practice Address: | 4118 Pond Hill Rd Suite 200 Shavano Park, TX - 782311281 |
| Business Phone Number: | 2106923439 |
| Business Fax Number: | 2104933444 |
| Mailing Address: | 12770 Bandera Rd, Apt 111 HELOTES |
| State: | TX |
| Postal Code: | 780234007 |
| Phone Number: | 9078540562 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2006 |
| NPI Last Update Date: | 07/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | AP112853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |