Provider Demographics
NPI:1760912281
Name:CHERRY, MERRIT (MPAS, MS, PA-C)
Entity Type:Individual
Prefix:
First Name:MERRIT
Middle Name:
Last Name:CHERRY
Suffix:
Gender:M
Credentials:MPAS, MS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 N LOOP 336 W
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3519
Mailing Address - Country:US
Mailing Address - Phone:936-441-2003
Mailing Address - Fax:
Practice Address - Street 1:2236 N LOOP 336 W
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3519
Practice Address - Country:US
Practice Address - Phone:936-441-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant