Individual
KENNETH TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4410 MEDICAL DR, SUITE 440, SAN ANTONIO, TX 78229-6306
(210) 692-9400
(210) 692-9601
Mailing address
4410 MEDICAL DR, SUITE 440, SAN ANTONIO, TX 78229-6306
(210) 692-9400
(210) 692-9601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E6649
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E6649
TX
207RP1001X
Pulmonary Disease Physician
Primary
E6649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133977208
—
TX
01
—
8U5580
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/10/2005
Last updated
12/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us