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Individual
DR. TERRY R JENKINS
Active
Individual
DR. TERRY R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
F8523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102870601
—
TX
01
—
116001100
FIRST CARE PROVIDER ID
TX
01
—
830003621
MEDICARE RAILROAD
TX
Enumeration date
05/24/2006
Last updated
02/08/2010
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