Provider Demographics
NPI:1306920004
Name:CROWDER, TERRY STEVEN (D C)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:STEVEN
Last Name:CROWDER
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3441
Mailing Address - Country:US
Mailing Address - Phone:972-562-0674
Mailing Address - Fax:972-542-0710
Practice Address - Street 1:1502 W UNIVERSITY DR
Practice Address - Street 2:SUITE 107
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3441
Practice Address - Country:US
Practice Address - Phone:972-562-0674
Practice Address - Fax:972-542-0710
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3091111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601455Medicare ID - Type UnspecifiedPROVIDER NUMBER