Provider Demographics
NPI:1457332447
Name:TERRERI, ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:TERRERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 N CENTRAL EXPY STE 185
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2763
Mailing Address - Country:US
Mailing Address - Phone:303-933-8270
Mailing Address - Fax:972-437-3369
Practice Address - Street 1:21810 ROAN BLF
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2739
Practice Address - Country:US
Practice Address - Phone:303-933-8270
Practice Address - Fax:972-437-3369
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1066312085R0202X
IN010462422085R0202X
NY2514712085R0202X
TXN11782085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME106631OtherFL LICENSE