Provider Demographics
NPI:1902814775
Name:TERRY, ARLO C (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLO
Middle Name:C
Last Name:TERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:414 NAVARRO ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2516
Mailing Address - Country:US
Mailing Address - Phone:210-223-5561
Mailing Address - Fax:210-223-5093
Practice Address - Street 1:1042 GARNER FIELD RD
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4854
Practice Address - Country:US
Practice Address - Phone:830-278-9465
Practice Address - Fax:830-278-8226
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2010-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF4592207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117856802OtherMEDICAID
TX829114OtherMEDICARE PIN
TXF4592OtherPHYSICIAN PERMIT
TX117856803Medicaid
TXF4592OtherPHYSICIAN PERMIT
TX117856803Medicaid