Terri Lynn Rose, MD

Individual provider Active NPI General Practice Physician · Lamesa, TX

NPI 1962520932 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1962520932
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
G0028 (TX)
Practice address
1313 CR 19
Smith Unit
Lamesa, TX 79331
Phone
(866) 541-7731
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G0028TXMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G0028 TX Yes

Addresses

Primary practice location

1313 CR 19
Smith Unit
Lamesa, TX 79331

Mailing address

5307 W. Loop 289
Suite 202
Lubbock, TX 79414
Phone (866) 541-7731

Other names

  • Terrance Lynn Rose Former name

Other providers in Lamesa, TX

All providers in Lamesa, TX · General Practice Physician in Texas

Sources for this page

Verify at the official NPI Registry.