Individual
EDWARD L TERRASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18230 FM 1488 RD STE 200, MAGNOLIA, TX 77354
(936) 270-4800
Mailing address
18230 FM 1488 RD STE 200, MAGNOLIA, TX 77354-4530
(936) 270-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177778101
—
TX
05
—
177778104
—
TX
Enumeration date
06/12/2006
Last updated
10/04/2018
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