Organization Name: | JOHN M. SHERMAN, M.D. P.A. |
NPI Number: | 1518133305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN M SHERMAN (OWNER) |
Mailing Address: | 6516 Escondido Dr Ste A El Paso |
State: | TX US |
Postal Code: | 799122971 |
Phone Number: | 9155669369 |
Fax Number: | 9155668120 |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 08/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D1046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |