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NPI Code Detail

MEDICARE: STUART A TERRY MD PA

MEDICARE: STUART A TERRY MD PA
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
1207W00000XOphthalmology PhysicianE1771TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558336412
Entity Type Code : Organization
Provider Name (Legal Business Name) : STUART A TERRY MD PA
Provider Business Mailing Address
First Line : 1100 N MAIN AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-4701
Country : US
Telephone Number : 210-222-2154
Fax Number : 210-227-6056
Provider Business Practice Location Address
First Line : 1100 N MAIN AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-4701
Country : US
Telephone Number : 210-222-2154
Fax Number : 210-227-6056
Authorized Official
Title or Position : OWNER
Name : DR. ODAY J. ALSHEIKH
Credential : MD
Telephone Number : 210-222-2154
Provider Enumeration Date : 02/22/2006
Last Update Date : 09/15/2017

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Directions to “STUART A TERRY MD PA ” Practice Location

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