Healthcare Provider Details

I. General information

NPI: 1003748302
Provider Name (Legal Business Name): CHERITA BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAX BAILEY

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 AUSTIN BLVD STE 600
RED OAK TX
75154-4658
US

IV. Provider business mailing address

101 AUSTIN BLVD STE 600
RED OAK TX
75154-4658
US

V. Phone/Fax

Practice location:
  • Phone: 972-891-8040
  • Fax:
Mailing address:
  • Phone: 972-891-8040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: