Individual
CHERYL A CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2931 RICHMOND RD, TEXARKANA, TX 75503
(903) 614-3200
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J8963
TX
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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