Provider Demographics
NPI:1255881017
Name:MENARD, TERRANCE (FNP)
Entity type:Individual
Prefix:
First Name:TERRANCE
Middle Name:
Last Name:MENARD
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12131 HIGHWAY 6 STE 108
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-1633
Mailing Address - Country:US
Mailing Address - Phone:337-781-6313
Mailing Address - Fax:832-234-9416
Practice Address - Street 1:12131 HIGHWAY 6 STE 108
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-1633
Practice Address - Country:US
Practice Address - Phone:346-816-7652
Practice Address - Fax:832-234-9416
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131468363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily