Individual
CHERYL J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4411 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3726
(210) 648-9500
(210) 648-9504
Mailing address
4411 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3726
(210) 648-9500
(210) 648-9504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K6871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110187729
RAILROAD MEDICARE
TX
01
—
82213F
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/03/2006
Last updated
03/26/2021
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