Provider Demographics
NPI:1508957929
Name:STERLING, JEFFREY EMERY (MD)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:EMERY
Last Name:STERLING
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 1:10356 ALEDO ROAD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76126
Mailing Address - Country:US
Mailing Address - Phone:817-938-0965
Mailing Address - Fax:817-885-7702
Practice Address - Street 1:511 E HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:SAN AUGUSTINE
Practice Address - State:TX
Practice Address - Zip Code:75972-2121
Practice Address - Country:US
Practice Address - Phone:817-999-3962
Practice Address - Fax:817-827-4104
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7892207P00000X
WI40477207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178191602Medicaid
TX1781916-15Medicaid
TX178191602Medicaid
TX1781916-15Medicaid