National Provider Identifier Database

TERRY A EAVENSON, LMRT – NPI #1720189103
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

TERRY A EAVENSON, LMRT
3115 COLLEGE PARK DR
STE 104
THE WOODLANDS, TX77384-4009
Phone: 936-321-5030
Fax: 936-271-5033
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for TERRY A EAVENSON

NPI Number 1720189103
Credentials LMRT
Entity Individual
Enumeration date 09/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 200572
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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