MEDICARE: TERRY SCOTT PEERY DO

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
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	M5436	TX
2	2084N0400X	Neurology Physician	M5436	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8BC075	OTHER	TX	BCBS
2	TIN PLUS 015	OTHER	TX	TRICARE TC JV LOCATION
3	TIN PLUS 052	OTHER	TX	TRICARE
4	TIN PLUS 095	OTHER	TX	TRICARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	TIN PLUS 115	OTHER	TX	TRICARE

General Provider Information

NPI Number	:	1710959762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRY SCOTT PEERY DO

Provider Business Mailing Address
First Line	:	16040 PARK VALLEY DRIVE,
Second Line	:	BLDG B-100
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-3573
Country	:	US
Telephone Number	:	512-218-1222
Fax Number	:	512-218-1393

Provider Business Practice Location Address
First Line	:	16040 PARK VALLEY DRIVE,
Second Line	:	BLDG B-100
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-3573
Country	:	US
Telephone Number	:	512-218-1222
Fax Number	:	512-218-1393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	06/02/2025

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Directions to “ TERRY SCOTT PEERY DO” Practice Location

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