Provider Demographics
NPI:1679546048
Name:TERRY, MARSHA M (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:M
Last Name:TERRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 N ED CAREY DR
Mailing Address - Street 2:SUITE 1 A
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8200
Mailing Address - Country:US
Mailing Address - Phone:956-428-5522
Mailing Address - Fax:956-421-2759
Practice Address - Street 1:500 E RIDGE RD
Practice Address - Street 2:SUITE #300
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1506
Practice Address - Country:US
Practice Address - Phone:956-630-5522
Practice Address - Fax:956-421-2759
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX604795163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse