Individual
TERRY MARK HIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
243 GARDEN ARBOR CT, LAS VEGAS, NV 89148-5285
(702) 482-4551
(308) 631-7979
Mailing address
243 GARDEN ARBOR CT, LAS VEGAS, NV 89148-5285
(702) 482-4551
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02005730A
IN
2084N0400X
Neurology Physician
62
NE
2084N0400X
Neurology Physician
79956
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024983100
—
NE
01
—
41631
COLORADO STATE LICENSE
CO
05
—
71288333 -INDIVIDUAL
—
CO
Enumeration date
08/29/2006
Last updated
05/21/2024
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