IndividualActive
Terry Eavenson, LMRT
NPI 1720189103 · Radiologic Technologist · The Woodlands, TX
Provider details
- NPI number
- 1720189103
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- LMRT
- Sex
- Female
- Sole proprietor
- No
- License
- 200572 (TX)
Practice 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
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.