Provider Demographics
NPI:1821276825
Name:CHEROKEE MEDICAL SERVICES
Entity Type:Organization
Organization Name:CHEROKEE MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:X-RAY TECHNICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL ALLEN
Authorized Official - Middle Name:PAYUMO
Authorized Official - Last Name:PARMENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-881-6988
Mailing Address - Street 1:18945 FM 2252
Mailing Address - Street 2:SUITE 115
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2562
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18945 FM 2252
Practice Address - Street 2:SUITE 115
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266-2562
Practice Address - Country:US
Practice Address - Phone:210-651-0027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHF 877112865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital