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NPI Code Detail

MEDICARE: LOUISE A TERRILL M.D.

MEDICARE:   LOUISE A TERRILL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianF7635TX
2207R00000XInternal Medicine PhysicianF7635TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18P2797OTHERTXBCBS

General Provider Information

NPI Number : 1336174051
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISE A TERRILL M.D.
Provider Business Mailing Address
First Line : PO BOX 201088
Second Line :
City : HOUSTON
State : TX
Zip : 77216-1088
Country : US
Telephone Number : 713-500-3500
Fax Number :
Provider Business Practice Location Address
First Line : 9105 N WAYSIDE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77028-1030
Country : US
Telephone Number : 713-633-2020
Fax Number : 713-636-7193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 02/12/2008

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Directions to “ LOUISE A TERRILL M.D.” Practice Location

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