MEDICARE: SHERIEN VERCHERE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	K2414	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83Z535	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1275691024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERIEN VERCHERE MD

Provider Business Mailing Address
First Line	:	4321 LULA ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-5221
Country	:	US
Telephone Number	:	713-666-2338
Fax Number	:	832-778-1448

Provider Business Practice Location Address
First Line	:	6431 FANNIN ST # 5020
Second Line	:	ANESTHESIA DEPT
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-5228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	12/27/2007

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