Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | H1355 | TX |
NPI | 1013064724 |
---|---|
Provider Name | Dr. Don Eldon Cherry |
First Address | Dallas, TX 75265-0865 |
Second Address | Houston, TX 77042-2300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 23/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
050041681 | RAILROAD MEDICARE (01) | TX |
125591102 | (05) | TX |
84Y532 | TX-BLUE SHIELD (01) | |
E04571 | (02) |