DR. STACY LYNN TERRY MD NPI 1417921008

NPI Information

NPI: 1417921008
Provider Name: DR. STACY LYNN TERRY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 45D1097547

Address:
4040 LEGACY DR.
201
FRISCO, TX
ZIP 75034
Phone: (972) 668-6705
Get Directions

DR. Stacy Lynn Terry, MD is a pediatrics in Frisco, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Stacy Lynn Terry, MD NPI is 1417921008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4040 LEGACY DR.
201
FRISCO, TX
ZIP 75034
Phone: (972) 668-6705
Fax: (972) 668-7308

The CLIA number assigned to this NPI record is 45D1097547 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 10/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		K5318	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0003LB	OTHER	TEXAS	BCBS
2	162238301	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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