Provider Demographics
NPI:1558317693
Name:CHEATUM, DON E (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:E
Last Name:CHEATUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8440 WALNUT HILL LN
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3833
Mailing Address - Country:US
Mailing Address - Phone:214-345-1408
Mailing Address - Fax:214-345-5732
Practice Address - Street 1:8440 WALNUT HILL LN
Practice Address - Street 2:SUITE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3833
Practice Address - Country:US
Practice Address - Phone:214-345-1408
Practice Address - Fax:214-345-5732
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2012-11-07
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Provider Licenses
StateLicense IDTaxonomies
TXD1978207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116258801Medicaid
TX660000778OtherRAILROAD MEDICARE
TX660000778OtherRAILROAD MEDICARE
TX116258801Medicaid