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Individual
DR. TERRY E. PICK
Active
Individual
DR. TERRY E. PICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G1148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073JU
BLUE CROSS AND B.S
TX
05
—
139340720
—
TX
05
—
139340722
—
TX
01
—
45D1012386
LAB EXEMPTION
TX
01
—
611440421
PRIVATE INSURANCE
TX
Enumeration date
07/12/2005
Last updated
07/09/2007
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