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Individual
MATTHEW JOHN TERHARK
Active
Individual
MATTHEW JOHN TERHARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10058109
TX
207Q00000X
Family Medicine Physician
R4485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10058109
PHYSICIAN IN TRAINING
TX
Enumeration date
06/17/2016
Last updated
09/13/2017
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