| Terry Gage, Md | |
|
4102 24th St Suite 404 Lubbock TX 79410-1806 | |
| (806) 793-5683 | |
| (806) 793-3821 |
| Full Name | Terry Gage, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 4102 24th St, Lubbock, Texas |
| Authorized Official Name and Position | James Terry Gage (OWNER) |
| Authorized Official Contact | 8067935683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Gage, Md 4102 24th St Suite 404 Lubbock TX 79410-1806 Ph: (806) 793-5683 | Terry Gage, Md 4102 24th St Suite 404 Lubbock TX 79410-1806 Ph: (806) 793-5683 |
| NPI Number | 1275721045 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275721045 | NPI | - | NPPES |
| 0005QV | Other | TX | BLUECROSS BLUESHIELD |
| 111493604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F3974 (Texas) | Primary |
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