Doctor Name: | TERRY CHRIS ERWIN |
NPI Number: | 1114355641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 652586 |
Business Practice Address: | 109 Nw 2nd St Mineral Wells, TX - 760674940 |
Business Phone Number: | 9406546200 |
Business Fax Number: | 9403252202 |
Mailing Address: | 109 Nw 2nd St, MINERAL WELLS |
State: | TX |
Postal Code: | 760674940 |
Phone Number: | 9406546200 |
Fax Number: | 9403252202 |
NPI Enumeration Date: | 10/18/2013 |
NPI Last Update Date: | 03/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 652586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |