Provider Demographics
NPI:1841265691
Name:WILLIAM L. TERRAL, MD, APMC
Entity type:Organization
Organization Name:WILLIAM L. TERRAL, MD, APMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:TERRAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-893-2580
Mailing Address - Street 1:71107 HIGHWAY 21
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7151
Mailing Address - Country:US
Mailing Address - Phone:985-893-2580
Mailing Address - Fax:985-871-9418
Practice Address - Street 1:71107 HIGHWAY 21
Practice Address - Street 2:SUITE 1
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7151
Practice Address - Country:US
Practice Address - Phone:985-893-2580
Practice Address - Fax:985-871-9418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA013850208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty