Provider Demographics
NPI:1558795492
Name:BARRETT, TERRANCE ERIC (NP)
Entity Type:Individual
Prefix:MR
First Name:TERRANCE
Middle Name:ERIC
Last Name:BARRETT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3406 COLLEGE ST
Mailing Address - Street 2:# 100
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4612
Mailing Address - Country:US
Mailing Address - Phone:409-832-6545
Mailing Address - Fax:409-832-7494
Practice Address - Street 1:3406 COLLEGE ST # 100
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4612
Practice Address - Country:US
Practice Address - Phone:409-813-1677
Practice Address - Fax:409-832-7494
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX656077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily