Provider Demographics
NPI:1598934986
Name:TERRY SOBEY, M.D,, PA
Entity Type:Organization
Organization Name:TERRY SOBEY, M.D,, PA
Other - Org Name:MESQUITE ORTHOPEDIC CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOBEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-288-4429
Mailing Address - Street 1:1010 N BELT LINE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1770
Mailing Address - Country:US
Mailing Address - Phone:972-288-4429
Mailing Address - Fax:
Practice Address - Street 1:1010 N BELT LINE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1770
Practice Address - Country:US
Practice Address - Phone:972-288-4429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2024174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122312503Medicaid
TX122312503Medicaid
TX1225470001Medicare NSC
TXB26548Medicare UPIN