MEDICARE: DR. NEIL SHERMAN MD

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
1	2085R0001X	Radiation Oncology Physician	H4050	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00713716	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	85470R	OTHER	TX	BLUE CROSS
4	8BZ005	OTHER	TX	BCBS
6	8BZ005	OTHER	TX	BC BS OF TX

General Provider Information

NPI Number	:	1336134618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL SHERMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:	972-281-0813

Provider Business Practice Location Address
First Line	:	909 FROSTWOOD DR STE 152
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2308
Country	:	US
Telephone Number	:	713-242-3500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	01/04/2011

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Directions to “ DR. NEIL SHERMAN MD” Practice Location

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