Organization
SPORTS, PHYSICIANS, ORTHOPEDICS, AND REHABILITATION OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE ANN CHERRIX (CREDENTIALLING)
(469) 850-0203
Entity
Organization
Contact information
Practice address
19200 PRESTON RD, STE 120, DALLAS, TX 75252-2450
(469) 200-2832
(469) 269-1074
Mailing address
19200 PRESTON RD, STE 120, DALLAS, TX 75252-2450
(469) 200-2832
(469) 269-1074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
11/17/2017
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