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NPI Code Detail

MEDICARE: CHERYL K MCDONALD M.D.

MEDICARE:   CHERYL K MCDONALD  M.D.
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
1207RI0200XInfectious Disease PhysicianH7634TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2440002173OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
189860JOTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013982511
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL K MCDONALD M.D.
Provider Business Mailing Address
First Line : 1125 COLLEGE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4514
Country : US
Telephone Number : 817-810-9810
Fax Number : 817-810-9815
Provider Business Practice Location Address
First Line : 1125 COLLEGE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4514
Country : US
Telephone Number : 817-810-9810
Fax Number : 817-810-9815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 01/21/2013

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Directions to “ CHERYL K MCDONALD M.D.” Practice Location

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