Provider Demographics
NPI:1336113208
Name:AUMAN, SHERRILL L (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRILL
Middle Name:L
Last Name:AUMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2120 MISTLETOE BLVD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-1175
Mailing Address - Country:US
Mailing Address - Phone:817-927-8900
Mailing Address - Fax:817-927-8902
Practice Address - Street 1:2120 MISTLETOE BLVD
Practice Address - Street 2:SUITE #2
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-1175
Practice Address - Country:US
Practice Address - Phone:817-927-8900
Practice Address - Fax:817-927-8902
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1615207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089923905Medicaid
TX8D3198Medicare ID - Type Unspecified
TX089923905Medicaid