Provider Demographics
NPI:1720190283
Name:FLEISCHMAN, CHERYL YVONNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:YVONNE
Last Name:FLEISCHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CHERYL
Other - Middle Name:YVONNE
Other - Last Name:FLEISCHMAN-BRUCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4500 S LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7167
Mailing Address - Country:US
Mailing Address - Phone:214-857-1437
Mailing Address - Fax:214-857-1281
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-1437
Practice Address - Fax:214-857-1281
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103361225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner