Individual
LAUREN TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-1000
Mailing address
406 S BOGGIE ST, ATLANTA, TX 75551-3611
(903) 601-1326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1055120
TX
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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