Provider Demographics
NPI:1982689311
Name:CROOK, TERRI WESSON (MD)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:WESSON
Last Name:CROOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:CAROLE
Other - Last Name:WESSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 164045
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78716-4045
Mailing Address - Country:US
Mailing Address - Phone:214-596-2211
Mailing Address - Fax:214-596-2297
Practice Address - Street 1:8400 ESTERS BLVD
Practice Address - Street 2:SUITE 190
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2203
Practice Address - Country:US
Practice Address - Phone:214-596-2211
Practice Address - Fax:214-596-2297
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34651207ZP0102X
ARE2912207ZP0102X
CT43762207ZP0102X
SC28355207ZP0102X
UT58676941205207ZP0102X
TXK2885207ZP0102X
IA33554207ZP0102X
NC207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M8256OtherBCBS
TX8D4271Medicare ID - Type Unspecified
TX8M8256OtherBCBS