Organization
TERRY A. CLYBURN, M. D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY ALAN CLYBURN M. D. (OWNER)
(713) 357-4752
Entity
Organization
Contact information
Practice address
5420 WEST LOOP S, SUITE 2400, BELLAIRE, TX 77401-2107
(713) 357-4752
(832) 213-0308
Mailing address
PO BOX 4356, DEPT. 967, HOUSTON, TX 77210-4356
(713) 357-4752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F3846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085PA
BCBS
TX
Enumeration date
11/22/2006
Last updated
11/26/2008
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