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NPI Code Detail

MEDICARE: CM DODSON P.C.

MEDICARE: CM DODSON P.C.
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
1261QR1300XRural Health Clinic/Center
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750374526
Entity Type Code : Organization
Provider Name (Legal Business Name) : CM DODSON P.C.
Provider Business Mailing Address
First Line : PO BOX 1354
Second Line :
City : RIO HONDO
State : TX
Zip : 78583-1354
Country : US
Telephone Number : 956-233-3443
Fax Number : 833-921-2118
Provider Business Practice Location Address
First Line : 725 W OCEAN BLVD
Second Line :
City : LOS FRESNOS
State : TX
Zip : 78566-3637
Country : US
Telephone Number : 956-233-3443
Fax Number : 956-233-3407
Authorized Official
Title or Position : PHYSICIAN ASSISTANT
Name : CHERYL MAE DODSON
Credential : P.A.
Telephone Number : 956-748-2381
Provider Enumeration Date : 08/26/2005
Last Update Date : 09/30/2025

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