Organization
TERCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN LUKE MAGUNSON (CEO)
(469) 995-8416
Entity
Organization
Contact information
Practice address
4545 FULLER DR, SUITE 100, IRVING, TX 75038-6530
(469) 995-8416
Mailing address
4545 FULLER DR, SUITE 100, IRVING, TX 75038-6530
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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