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Organization
TERRY GAGE, MD
Active
Organization
TERRY GAGE, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TERRY GAGE MD (OWNER)
(806) 793-5683
Entity
Organization
Contact information
Practice address
4102 24TH ST, SUITE 404, LUBBOCK, TX 79410-1806
(806) 793-5683
(806) 793-3821
Mailing address
4102 24TH ST, SUITE 404, LUBBOCK, TX 79410-1806
(806) 793-5683
(806) 793-3821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005QV
BLUECROSS BLUESHIELD
TX
05
—
111493604
—
TX
Enumeration date
10/05/2007
Last updated
02/15/2008
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