Individual
BRENT SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
997 W INTERSTATE 20, COLORADO CITY, TX 79512-2685
(325) 728-2693
(325) 728-2420
Mailing address
997 W INTERSTATE 20, COLORADO CITY, TX 79512-2685
(325) 728-2693
(325) 728-2420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167345104
—
TX
01
—
8W2460
BLUE SHIELD
TX
Enumeration date
09/20/2006
Last updated
01/15/2016
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