Individual
DR. TERRY DON PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3811 SAGEBRIAR DRIVE, BRYAN, TX 77802-6107
(979) 774-0498
Mailing address
911 GREENBRANCH LOOP, BRYAN, TX 77808
(979) 776-9040
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J8711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102636103
—
TX
01
—
8R9481
BCBS ID #
TX
Enumeration date
09/05/2006
Last updated
09/23/2020
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