Provider Demographics
NPI:1336134618
Name:SHERMAN, NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-281-0813
Practice Address - Street 1:909 FROSTWOOD DR STE 152
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2308
Practice Address - Country:US
Practice Address - Phone:713-242-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH40502085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098451004Medicaid
TX098451003Medicaid
TX85470ROtherBLUE CROSS
TX8BZ005OtherBCBS
TXP00713716OtherRAILROAD MEDICARE
TX8BZ005OtherBC BS OF TX
TX8BZ005OtherBC BS OF TX
TX098451004Medicaid
TX098451003Medicaid
TX760171320OtherTIN
TX85470ROtherBLUE CROSS