MEDICARE: MS. TERRI RENEE PALMER

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1508565938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TERRI RENEE PALMER

Provider Business Mailing Address
First Line	:	18075 W LITTLE YORK RD STE G
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7241
Country	:	US
Telephone Number	:	832-683-4809
Fax Number	:	832-683-4569

Provider Business Practice Location Address
First Line	:	18075 W LITTLE YORK RD STE G
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7241
Country	:	US
Telephone Number	:	832-683-4809
Fax Number	:	832-683-4569

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

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	02/24/2023

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Directions to “ MS. TERRI RENEE PALMER ” Practice Location

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