Provider Demographics
NPI:1659585586
Name:UPTON, TERRENCE H (DPM)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:H
Last Name:UPTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 S SHEPHERD DR
Mailing Address - Street 2:STE. 220
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1515
Mailing Address - Country:US
Mailing Address - Phone:713-942-7700
Mailing Address - Fax:
Practice Address - Street 1:2621 S SHEPHERD DR
Practice Address - Street 2:STE. 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-1515
Practice Address - Country:US
Practice Address - Phone:713-942-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1234213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery