Provider Demographics
NPI:1861664112
Name:TERRY L. MCCASKILL M.D. PC
Entity Type:Organization
Organization Name:TERRY L. MCCASKILL M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LISTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-826-1285
Mailing Address - Street 1:6512 S MCCARRAN BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6170
Mailing Address - Country:US
Mailing Address - Phone:775-826-1285
Mailing Address - Fax:775-284-4093
Practice Address - Street 1:6512 S MCCARRAN BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6170
Practice Address - Country:US
Practice Address - Phone:775-826-1285
Practice Address - Fax:775-284-4093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4624363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty