Terry a. Clyburn, M. D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

F3846 Issued in TX

Legal business name

TERRY A. CLYBURN, M. D., P.A.

Practice address

5420 West Loop S
Suite 2400
Bellaire, TX 77401-2107

Phone

(713) 357-4752

Fax

(832) 213-0308

NPI assigned

Nov 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Terry Alan Clyburn, M. D.

Title

Owner

Phone

(713) 357-4752

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1083789002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4356",
            "address_2": "DEPT. 967",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104356",
            "telephone_number": "713-357-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 WEST LOOP S",
            "address_2": "SUITE 2400",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012107",
            "telephone_number": "713-357-4752",
            "fax_number": "832-213-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY A. CLYBURN, M. D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "CLYBURN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-357-4752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F3846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0085PA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Nicole Taylor, OD
• TCH Pediatric Associates, Inc
• Craig F Teller, M.D.
• Terri-Ann Samuels MD PLLC
• Karen Terrones
• Terry W Ott DDS Inc
• Texas Doctors of Physical Therapy LLP
• Texas Endovascular Associates, PLLC
• Texas Medical Care, LLC
• Texas Ortho Spine, PLLC

• All providers in Bellaire, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.