Individual
TERRY A CLYBURN
Active
Individual
TERRY A CLYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,P.A.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
F3846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137857202
CSHCN
TX
05
—
137857211
—
TX
05
—
137857219
—
TX
01
—
200031823
RAILROAD MEDICARE
TX
01
—
81Z182
BCBS
TX
01
—
8FX450
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/11/2006
Last updated
08/30/2016
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