Provider Demographics
NPI:1528876711
Name:HOUGH, TERENCE
Entity type:Individual
Prefix:
First Name:TERENCE
Middle Name:
Last Name:HOUGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8214 DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-1530
Mailing Address - Country:US
Mailing Address - Phone:402-312-6207
Mailing Address - Fax:
Practice Address - Street 1:503 S FILLMORE ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-3604
Practice Address - Country:US
Practice Address - Phone:402-670-1617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion