| Terry Walters Ph D Pc | |
|
517 Harwood Rd Ste 102 Bedford TX 76021-4109 | |
| (817) 485-9003 | |
| Not Available |
| Full Name | Terry Walters Ph D Pc |
|---|---|
| Speciality | Psychologist |
| Location | 517 Harwood Rd, Bedford, Texas |
| Authorized Official Name and Position | Terry Lynne Walters (PRESIDENT) |
| Authorized Official Contact | 8174859003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Walters Ph D Pc 517 Harwood Rd Ste 102 Bedford TX 76021-4109 Ph: (817) 485-9003 | Terry Walters Ph D Pc 517 Harwood Rd Ste 102 Bedford TX 76021-4109 Ph: (817) 485-9003 |
| NPI Number | 1437416278 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/18/2012 |
| Medicare PECOS PAC ID | 3173786654 |
|---|---|
| Medicare Enrollment ID | O20120521000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437416278 | NPI | - | NPPES |
| 00G63C | Other | TX | MEDICARE ID |
| G63C | Other | TX | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Terry Walters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104974377 PECOS PAC ID: 1254594732 Enrollment ID: I20120521000122 |
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