Individual
SHERRYL A LABONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
910 E HOUSTON ST, STE 550, TYLER, TX 75702-8369
(903) 510-8718
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP125702
TX
363L00000X
Nurse Practitioner
ARNP9203828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059195522
BLUE SHIELD
AL
05
—
308710700
—
FL
05
—
338001601
—
TX
01
—
752616977008
TRICARE
TX
05
—
891017521
—
AL
01
—
8923NK
BCBS
TX
01
—
P00453179
RAILROAD MEDICARE
—
01
—
Y116A
BCBSFL
FL
Enumeration date
08/15/2007
Last updated
12/15/2014
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