Individual
MARK ERIC TERWILLIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
200 NOLA RUTH BLVD, HARKER HEIGHTS, TX 76548-6074
(877) 800-5722
(254) 698-1673
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
854069
TX
Other
Enumeration date
04/07/2006
Last updated
05/05/2014
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