Jason Bradley Terrell MD

NPI 1619160686 - General Practice - 208D00000X

NPI Details
NPI 1619160686
Gender Male
Enumeration Date 08/23/2007
Last Updated 10/04/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
3513 158TH ST
LUBBOCK TX, 79423-6361, US
Phone (806) 543-9656
Fax
Business Location
3513 158TH ST
LUBBOCK TX, 79423-6361, US
Phone (806) 543-9656
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Texas
License Number N6065
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According to our database, Dr. Jason Bradley Terrell MD NPI is 1619160686, taxonomy code is 208D00000X and license number is N6065, license state is located at Texas. Jason Bradley Terrell MD physically located at 3513 158th St, Lubbock TX, 79423-6361. NPI Number Jason Bradley Terrell MD has the Individual type.

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1619160686 NPI number is provided on an as is basis without warranty of any kind. 1619160686 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Bradley Terrell MD are for informational purposes only.