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Individual

GREGORY M TERRY

Active
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Individual

GREGORY M TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0887
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045KC
BLUE CROSS
TX
05
—
133475709
—
TX
05
—
133475710
—
TX
05
—
158508501
—
TX
01
—
1972501773
BLUE CROSS BLUE SHIELD
TX
01
—
8CR000
BLUE CROSS BLUE SHIELD
TX
01
—
P00937540
MEDICARE RR
TX
01
—
P01337849
RR MEDICARE
TX
Enumeration date
07/14/2005
Last updated
03/21/2016
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