Individual
TERRY A CLYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,P.A.
Contact information
Practice address
6445 MAIN ST, SUITE 2500, HOUSTON, TX 77030-1502
(713) 441-9000
(713) 790-2058
Mailing address
6445 MAIN ST, SUITE 2500, HOUSTON, TX 77030-1502
(713) 441-9000
(713) 790-2058
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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