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Organization
RONALD D. SHERBERT, D.O. P.A.
Active
Organization
RONALD D. SHERBERT, D.O. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D SHERBERT D.O. (PHYSICIAN)
(903) 962-3419
Entity
Organization
Contact information
Practice address
709 N WALDRIP ST, GRAND SALINE, TX 75140-1555
(903) 962-3419
(903) 962-3635
Mailing address
PO BOX 553, GRAND SALINE, TX 75140-0553
(903) 962-3419
(903) 962-3635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R362
BLUE CROSS/BLUE SHIELD
TX
01
—
011539980
RAILROAD MEDICARE
TX
05
—
099908802
—
TX
01
—
454237
AETNA
TX
Enumeration date
01/10/2011
Last updated
01/10/2011
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