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NPI Code Detail

MEDICARE: SHERILL ANN PAGDANGANAN CARREON PT

MEDICARE: SHERILL ANN PAGDANGANAN CARREON PT
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
1225100000XPhysical Therapist1205808TX

General Provider Information

NPI Number : 1215274337
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERILL ANN PAGDANGANAN CARREON PT
Provider Business Mailing Address
First Line : 5473 BLAIR RD SUITE 100
Second Line : PMB 839561
City : DALLAS
State : TX
Zip : 75231-4227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5473 BLAIR RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75231-4227
Country : US
Telephone Number : 903-740-0850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2013
Last Update Date : 01/21/2026

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