Provider Demographics
NPI:1508565938
Name:PALMER, TERRI RENEE
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:RENEE
Last Name:PALMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18075 W LITTLE YORK RD STE G
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7241
Mailing Address - Country:US
Mailing Address - Phone:832-683-4809
Mailing Address - Fax:832-683-4569
Practice Address - Street 1:18075 W LITTLE YORK RD STE G
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7241
Practice Address - Country:US
Practice Address - Phone:832-683-4809
Practice Address - Fax:832-683-4569
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care