Provider Demographics
NPI:1447242326
Name:SOBEY, TERRY M (MD)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:M
Last Name:SOBEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1010 N BELT LINE RD
Mailing Address - Street 2:#101
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1781
Mailing Address - Country:US
Mailing Address - Phone:972-288-4429
Mailing Address - Fax:972-288-9380
Practice Address - Street 1:1010 N BELT LINE RD
Practice Address - Street 2:#101
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1781
Practice Address - Country:US
Practice Address - Phone:972-288-4429
Practice Address - Fax:972-288-9380
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF2024207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122312503Medicaid
TX1225470001Medicare NSC
TX0070AYMedicare ID - Type Unspecified
TX122312503Medicaid