Individual
MR. BRIAN EDWARD CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
605 N. MAIN, FORT STOCKTON, TX 79735
(432) 336-3662
(432) 336-7806
Mailing address
P.O. BOX 1568, FORT STOCKTON, TX 79735
(432) 336-3662
(432) 336-7806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8007TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
267587YNE2
MEDICARE GROUP MEMBER PTAN
TX
Enumeration date
10/18/2012
Last updated
02/28/2020
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