Healthcare Provider Details

I. General information

NPI: 1750374526
Provider Name (Legal Business Name): CM DODSON P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 W OCEAN BLVD
LOS FRESNOS TX
78566-3637
US

IV. Provider business mailing address

PO BOX 1354
RIO HONDO TX
78583-1354
US

V. Phone/Fax

Practice location:
  • Phone: 956-233-3443
  • Fax: 956-233-3407
Mailing address:
  • Phone: 956-233-3443
  • Fax: 833-921-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHERYL MAE DODSON
Title or Position: PHYSICIAN ASSISTANT
Credential: P.A.
Phone: 956-748-2381