Provider Demographics
NPI:1457429961
Name:SEEGERS, TERRY R (MD)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:R
Last Name:SEEGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-4209
Mailing Address - Country:US
Mailing Address - Phone:940-766-0217
Mailing Address - Fax:940-766-0730
Practice Address - Street 1:808 BROOK AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4209
Practice Address - Country:US
Practice Address - Phone:940-766-0217
Practice Address - Fax:940-766-0730
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK89762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128921100OtherFIRSTCARE
TXA019OtherHUMANA MILITARY HEALTHCAR
TX150123101Medicaid
TX300130723OtherRAILROAD MEDICARE
TX123832OtherSUPERIOR HEALTHPLAN
TX85372ROtherBLUE CROSS BLUE SHIELD
TX150123102OtherC S H C N
TXMDK8976OtherWORKERS COMPENSATION
TXMDK8976OtherWORKERS COMPENSATION
TX150123102OtherC S H C N