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Ivan Terry
NPI 1831762400 · on the registry since 2021
Practice
- Address
- 4502 North St
Nacogdoches, TX 75965 - Phone
- (936) 305-5321
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas