MEDICARE: SHERRY LYNN C WOLF MD PA

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1720611320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERRY LYNN C WOLF MD PA

Provider Business Mailing Address
First Line	:	1000 GARLAND JOHNSTON DR
Second Line	:
City	:	VERNON
State	:	TX
Zip	:	76384-4097
Country	:	US
Telephone Number	:	940-552-9991
Fax Number	:	940-553-1358

Provider Business Practice Location Address
First Line	:	1000 GARLAND JOHNSTON DR
Second Line	:
City	:	VERNON
State	:	TX
Zip	:	76384-4097
Country	:	US
Telephone Number	:	940-552-9991
Fax Number	:	940-553-1358

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. SHERRY LYNN C. WOLF
Credential	:	MD
Telephone Number	:	940-552-9991

Provider Enumeration Date	:	02/21/2020
Last Update Date	:	04/02/2025

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