Individual
MR. MICHAEL CHERKASSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 W MAGNOLIA AVE, STE 207, FORT WORTH, TX 76104-4637
(817) 332-3089
(817) 338-0574
Mailing address
603 W MAGNOLIA AVE, STE 207, FORT WORTH, TX 76104-4637
(817) 332-3089
(817) 332-0574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G9078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034198401
—
TN
Enumeration date
08/30/2006
Last updated
07/14/2016
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