Provider Demographics
NPI:1760474126
Name:SHERRON, SERENA R (DO)
Entity Type:Individual
Prefix:DR
First Name:SERENA
Middle Name:R
Last Name:SHERRON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3533 S ALAMEDA ST
Mailing Address - Street 2:STE 303
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1721
Mailing Address - Country:US
Mailing Address - Phone:361-853-3222
Mailing Address - Fax:361-561-2692
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:#303, JOSEPH M. SLOAN BLDG.
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-853-3222
Practice Address - Fax:361-853-7311
Is Sole Proprietor?:No
Enumeration Date:2005-08-21
Last Update Date:2016-10-28
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Provider Licenses
StateLicense IDTaxonomies
TXK3464208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092196701Medicaid
TX857705Medicare UPIN
TXG50563Medicare UPIN