Provider Demographics
NPI:1376940924
Name:SHERRILL, JAMES W III (CPO, LPO)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:W
Last Name:SHERRILL
Suffix:III
Gender:M
Credentials:CPO, LPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11155 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5600
Mailing Address - Country:US
Mailing Address - Phone:713-747-4171
Mailing Address - Fax:713-747-4249
Practice Address - Street 1:11155 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5600
Practice Address - Country:US
Practice Address - Phone:713-747-4171
Practice Address - Fax:713-747-4249
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CPO3003OtherAMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS AND PROSTHETICS
TXLPO 1419OtherTEXAS BOARD OF ORTHOTICS AND PROSTHETICS