MEDICARE: MRS. SYLVIDA DAVIS HARPER-TERRY FNP-C

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	363L00000X	Nurse Practitioner	AP119512	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1780987552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SYLVIDA DAVIS HARPER-TERRY FNP-C

Provider Business Mailing Address
First Line	:	122 W JOHN CARPENTER FWY STE 420
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-2014
Country	:	US
Telephone Number	:	972-957-3000
Fax Number	:	972-957-3005

Provider Business Practice Location Address
First Line	:	5230 ALDINE MAIL ROUTE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039-3804
Country	:	US
Telephone Number	:	281-598-3300
Fax Number	:	281-598-3305

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

Provider Enumeration Date	:	12/16/2010
Last Update Date	:	03/01/2019

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