Organization
TERRY V PURSLEY MD
Active
Organization
TERRY V PURSLEY MD
Active
Other names
BROWNWOOD DERMATOLOGY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY VINCENT PURSLEY M.D. (OWNER)
(325) 646-2929
Entity
Organization
Contact information
Practice address
2504 CROCKETT DR, BROWNWOOD, TX 76801-5900
(325) 646-2929
(325) 641-0122
Mailing address
2504 CROCKETT DR, BROWNWOOD, TX 76801-5900
(325) 646-2929
(325) 641-0122
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E6154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070002444
MEDICARE B RR PALMETTO
TX
Enumeration date
07/17/2007
Last updated
06/12/2008
Update your record
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