Individual
DR. CHERYE C CALLEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 S MAIN ST, GRAPEVINE, TX 76051-7518
(817) 310-0922
(817) 310-0910
Mailing address
PO BOX 938, TYLER, TX 75710-0938
(877) 839-9517
(903) 531-2337
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G9073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122118603
—
TX
Enumeration date
09/20/2006
Last updated
08/08/2011
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