Individual
DR. TERRY DOUGLAS MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2460 N CENTRAL EXPY STE 102, RICHARDSON, TX 75080-2780
(972) 664-0606
(972) 664-0808
Mailing address
PO BOX 670825, DALLAS, TX 75367-0825
(972) 664-0606
(972) 664-0808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L8816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171291101
—
TX
05
—
171293701
—
TX
Enumeration date
08/18/2006
Last updated
05/22/2024
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