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.

TERRY EAVENSON is a radiologic technologist located in THE WOODLANDS, TX. NPPES has assigned the NPI number 1720189103 to TERRY EAVENSON on September 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247100000X from the Health Care Provider Taxonomy code set, which is classified as Radiologic Technologist.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TERRY EAVENSON below.

NPI Profile for
TERRY A. EAVENSON

NPI Number
1720189103
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TERRY A. EAVENSON
Credentials
LMRT
Primary location
3115 COLLEGE PARK DR
STE 104
THE WOODLANDS, TX 77384-4009
Phone: (936) 321-5030 Fax: (936) 271-5033
Mailing address
11529 AMBERWOOD DR
MONTGOMERY, TX 77356
Phone: (936) 827-8410 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247100000X
- Radiologic Technologist (Primary)
TX 200572

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.