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Individual

TARA A CHERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4315 JAMES CASEY ST # 200, AUSTIN, TX 78745-3364
(512) 383-9752
(512) 406-7336
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L8305
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165739701
TX
Enumeration date
07/29/2006
Last updated
01/23/2020
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