DR. TERRY DALE EXSTRUM M.D. NPI 1871607424

NPI Information

NPI: 1871607424
Provider Name: DR. TERRY DALE EXSTRUM, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
4708 ALLIANCE BLVD STE 300
BAYLOR MEDICAL PLAZA 1
PLANO, TX
ZIP 75093
Phone: (972) 758-6000
Get Directions

DR. Terry Dale Exstrum, M.D. is an endocrinology and diabetes and metabolism internal medicine in Plano, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Terry Dale Exstrum, M.D. NPI is 1871607424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4708 ALLIANCE BLVD STE 300
BAYLOR MEDICAL PLAZA 1
PLANO, TX
ZIP 75093-339
Phone: (972) 758-6000
Fax: (972) 758-6001

The NPI 1871607424 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 12/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		K8140	TEXAS	No
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	K8140	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8B9904	MEDICARE PIN	TEXAS
2	84615N	MEDICARE PIN	TEXAS
3	G93668	MEDICARE UPIN	TEXAS
4	87195S	OTHER	TEXAS	BCBS
5	0431264-02	MEDICAID	TEXAS
6	460002517	MEDICARE PIN	TEXAS
7	043126401	MEDICAID	TEXAS
8	8L3983	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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