Individual
MRS. JAMIE ELIZABETH TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1213 HERMANN DR, SUITE 480, HOUSTON, TX 77004-7018
(713) 522-8905
(713) 820-6377
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H8455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134164608
—
TX
05
—
134164609
—
TX
05
—
134164610
—
TX
01
—
P00868150
RAILROAD MEDICARE
TX
Enumeration date
12/13/2005
Last updated
01/28/2016
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