Provider Demographics
NPI:1568425247
Name:O'BRIEN, CHERIE H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:H
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 W COLLEGE ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3580
Mailing Address - Country:US
Mailing Address - Phone:817-329-4433
Mailing Address - Fax:817-329-0190
Practice Address - Street 1:1600 W COLLEGE ST
Practice Address - Street 2:SUITE 410
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3580
Practice Address - Country:US
Practice Address - Phone:817-329-4433
Practice Address - Fax:817-329-0190
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK66642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBO4671942OtherDEA
TX8A6967Medicare PIN
TXBO4671942OtherDEA