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Individual

CHERRIE LYNN JOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N9459
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
284244501
TX
05
284244502
TX
01
8CX605
BLUE CROSS BLUE SHIELD
TX
01
P01095312
RAILROAD MEDICARE
TX
Enumeration date
05/28/2008
Last updated
02/13/2017
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