Provider Demographics
NPI:1942494778
Name:ABSHER, TERRY D
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:D
Last Name:ABSHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 TEALWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-3364
Mailing Address - Country:US
Mailing Address - Phone:214-384-7078
Mailing Address - Fax:972-240-2212
Practice Address - Street 1:4805 TEALWOOD CIR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3364
Practice Address - Country:US
Practice Address - Phone:214-384-7078
Practice Address - Fax:972-240-2212
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171WH0202XOther Service ProvidersContractorHome Modifications
No171WV0202XOther Service ProvidersContractorVehicle Modifications