Individual
DR. TERRY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, SUITE 1C102, LUBBOCK, TX 79430-0002
(806) 743-2800
(806) 743-1668
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2800
(806) 743-4250
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
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