| Terry C Chambless M.d.,p.a. | |
|
7200 Wyoming Sprgs Dr Ste 1600 Round Rock TX 78681-4703 | |
| (512) 244-3554 | |
| (512) 244-2942 |
| Full Name | Terry C Chambless M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7200 Wyoming Sprgs Dr, Round Rock, Texas |
| Authorized Official Name and Position | Terry Chambless (OWNER) |
| Authorized Official Contact | 5122441683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry C Chambless M.d.,p.a. 7200 Wyoming Springs Dr Ste 1100 Round Rock TX 78681-4307 Ph: (512) 244-1683 | Terry C Chambless M.d.,p.a. 7200 Wyoming Sprgs Dr Ste 1600 Round Rock TX 78681-4703 Ph: (512) 244-3554 |
| NPI Number | 1538478177 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 4789862657 |
|---|---|
| Medicare Enrollment ID | O20110623000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538478177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G3223 (Texas) | Primary |
| Provider Name | Terry C Chambless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831188572 PECOS PAC ID: 9335245802 Enrollment ID: I20110630000402 |
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