Individual
MS. TERRY ANN EAVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMRT
Contact information
Practice address
3115 COLLEGE PARK DR, STE 104, THE WOODLANDS, TX 77384-4009
(936) 321-5030
(936) 271-5033
Mailing address
11529 AMBERWOOD DR, MONTGOMERY, TX 77356
(936) 827-8410
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
200572
TX
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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