Individual
DR. HAROLD TERRY ELDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5257 GREENBRIAR DR, CORPUS CHRISTI, TX 78413-2824
(361) 993-5487
(361) 991-4435
Mailing address
5257 GREENBRIAR DR, CORPUS CHRISTI, TX 78413-2824
(361) 993-5487
(361) 991-4435
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G0872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8P5502
BCBS PROVIDER NUMBER
TX
01
—
P00209670
RAILROAD MCARE PROV. NO.
TX
Enumeration date
10/10/2005
Last updated
07/13/2007
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