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Individual

SADRICK TERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
23107 BIRNAM WOOD BLVD, SPRING, TX 77373-6807
(281) 687-0787
Mailing address
23107 BIRNAM WOOD BLVD, SPRING, TX 77373-6807
(281) 687-0787

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
11037567
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
803098266
CHARTER NUMBER
TX
Enumeration date
10/15/2018
Last updated
10/15/2018
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