Provider Demographics
NPI:1881959922
Name:URNOSKY, TERRY MICHAEL (MDIV,M,TH, DMIN)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:MICHAEL
Last Name:URNOSKY
Suffix:
Gender:M
Credentials:MDIV,M,TH, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 22ND ST
Mailing Address - Street 2:SUITE M
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1347
Mailing Address - Country:US
Mailing Address - Phone:806-795-5545
Mailing Address - Fax:806-742-2836
Practice Address - Street 1:3405 22ND ST
Practice Address - Street 2:SUITE M
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1347
Practice Address - Country:US
Practice Address - Phone:806-795-5545
Practice Address - Fax:806-742-2836
Is Sole Proprietor?:No
Enumeration Date:2012-07-04
Last Update Date:2012-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator