Individual
MR. TERRY LEE MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 1138, SAN ELIZARIO, TX 79849-1138
(915) 373-8783
Mailing address
PO BOX 1138, SAN ELIZARIO, TX 79849-1138
(915) 373-8783
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215501
TX
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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