Individual
TERRY EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 TEXAN TRL, STE 300, CORPUS CHRISTI, TX 78411-2547
(361) 854-0811
(361) 806-5040
Mailing address
601 TEXAN TRL, STE 300, CORPUS CHRISTI, TX 78411-2547
(361) 854-0811
(361) 806-5040
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
653594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653594
RN
TX
Enumeration date
03/27/2007
Last updated
07/08/2007
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