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Individual

SHERI C GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
284 INTERSTATE 45 S STE 1, HUNTSVILLE, TX 77340-4967
(936) 438-8200
(936) 438-8527
Mailing address
PO BOX 545, HUNTSVILLE, TX 77342-0545
(281) 530-5600
(936) 438-8527

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H9937
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00R12X
BLUE CROSS
TX
05
123805702
TX
01
260049562
RAILROAD MEDICARE
TX
01
8AJ820
BLUE CROSS
TX
Enumeration date
11/17/2005
Last updated
08/26/2008
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