Individual
DR. LANCE TERADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, MC 8448, DALLAS, TX 75390-7201
(214) 648-6885
Mailing address
3624 MAPLEWOOD AVE, DALLAS, TX 75205-2825
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
L2026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185203001
—
TX
Enumeration date
09/03/2006
Last updated
12/31/2008
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