Healthcare Provider Details

I. General information

NPI: 1972360162
Provider Name (Legal Business Name): MRS. SHEYLA V CHERRYHOLMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 BARCLAY ST
SAN ANTONIO TX
78207-7161
US

IV. Provider business mailing address

1200 BROOKLYN AVE STE 201
SAN ANTONIO TX
78212-4802
US

V. Phone/Fax

Practice location:
  • Phone: 210-233-7000
  • Fax: 210-591-1024
Mailing address:
  • Phone: 210-281-9800
  • Fax: 210-281-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1148783
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: