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NPI Code Detail

MEDICARE: TERRY MICHAEL LEA ANP-BC

MEDICARE:   TERRY MICHAEL LEA  ANP-BC
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
1363LF0000XFamily Nurse PractitionerAP110995TX
2363LF0000XFamily Nurse Practitioner601407TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP7269OTHERTXBCBS

General Provider Information

NPI Number : 1750322913
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY MICHAEL LEA ANP-BC
Provider Business Mailing Address
First Line : 30926 SIFTON DR
Second Line :
City : SPRING
State : TX
Zip : 77386-2236
Country : US
Telephone Number : 832-493-2276
Fax Number :
Provider Business Practice Location Address
First Line : 7887 CAMBRIDGE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77054-2013
Country : US
Telephone Number : 832-493-2276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 11/03/2022

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Directions to “ TERRY MICHAEL LEA ANP-BC” Practice Location

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