Individual
DR. CYNTHIA S. SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0387
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0387
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G5608
TX
2085R0202X
Diagnostic Radiology Physician
Primary
G5608
TX
2085U0001X
Diagnostic Ultrasound Physician
G5608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1244683-07
—
TX
05
—
124468302
—
TX
05
—
124468305
—
TX
Enumeration date
07/22/2005
Last updated
08/15/2012
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