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Terry Lively Enterprises
Other Specialist/Technologist in Canyon Lake, Texas
NPI 1336911387

Terry Lively Enterprises is a Other Specialist/Technologist based in Orlando, TX. Terry Lively Enterprises practices in Canyon Lake, TX. The NPI Number for Terry Lively Enterprises is 1336911387 and holds a License No. (Texas).

The current practice location address for Terry Lively Enterprises is 1478 Fm 2673, Canyon Lake, TX and can be reached out via phone at 210-585-8410.

Location: 1478 Fm 2673, Canyon Lake, TX, 32819-7220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336911387
Provider Name
Terry Lively Enterprises
Credential
Provider Entity Type
Organization
Address
1478 Fm 2673, Canyon Lake, TX, 32819-7220
Phone Number
210-585-8410
Fax Number
Provider Enumeration Date
10/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1478 Fm 2673
City
Canyon Lake
State
Texas
Zip
78133-4583
Phone Number
210-585-8410
Fax Number
person
Provider Business Mailing Address Details
Address
1478 Fm 2673
City
Canyon Lake
State
Texas
Zip
78133-4583
Phone Number
210-585-8410
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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