Terry, Carolyn M
Terry, Carolyn M is an individual health care provider with primary practice located at 12200 Preston Rd , Dallas TX 75230-2223. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Terry, Carolyn M can be contacted via phone (972) 560-2667.Contact Information
Primary practice address
12200 Preston Rd
Dallas TX 75230-2223
Phone: (972) 560-2667
Fax: (972) 239-6649
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | K6509 | Texas |
Profile Details
| NPI number | 1629178595 |
|---|---|
| LBN Legal business name | Terry, Carolyn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629178595 | NPPES |
| Texas | Other | 8M5533 | BLUE CROSS |
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