Provider Demographics
NPI:1689971178
Name:CHERRY, JOE FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:FRANK
Last Name:CHERRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 ZILLOCK RD LOT M131
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-9716
Mailing Address - Country:US
Mailing Address - Phone:956-357-2749
Mailing Address - Fax:877-601-2298
Practice Address - Street 1:1400 ZILLOCK RD LOT M131
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-9716
Practice Address - Country:US
Practice Address - Phone:956-357-2749
Practice Address - Fax:877-601-2298
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor