Individual
CHERYL LYNN HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7826
(903) 877-8701
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180124301
—
TX
01
—
8N9632
BCBS
TX
01
—
P00830852
RR MEDICARE
TX
Enumeration date
08/10/2006
Last updated
05/07/2018
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