Provider Demographics
NPI:1740563022
Name:BELCHER, TERRI (LSA)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:
Last Name:BELCHER
Suffix:
Gender:F
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1538 CRESCENT SHORES LN
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-4160
Mailing Address - Country:US
Mailing Address - Phone:281-630-3473
Mailing Address - Fax:
Practice Address - Street 1:1538 CRESCENT SHORES LN
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-4160
Practice Address - Country:US
Practice Address - Phone:281-630-3473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant