Individual
MIKE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 SUCCESS ST, GILMER, TX 75644-3246
(903) 841-3992
Mailing address
916 SUCCESS ST, GILMER, TX 75644-3246
(903) 841-3992
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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