Individual
DR. TERRY MCMAHON
Active
Individual
DR. TERRY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F0579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088650A
—
OK
05
—
119162100
—
TX
01
—
119162101
FIRSTCARE COMMERCIAL
TX
05
—
124688602
—
TX
05
—
124688604
—
TX
01
—
80917Z
HMO BLUE
TX
01
—
89C398
BC/BS
TX
01
—
A218
TRIWEST
NM
05
—
V3751
—
NM
Enumeration date
12/19/2005
Last updated
12/30/2019
Update your record
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