Provider Demographics
NPI:1861284820
Name:BEAN, TERRY W
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:W
Last Name:BEAN
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 1:5754 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-1618
Mailing Address - Country:US
Mailing Address - Phone:409-749-4660
Mailing Address - Fax:
Practice Address - Street 1:5754 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-1618
Practice Address - Country:US
Practice Address - Phone:409-749-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health