Provider Demographics
NPI:1851372577
Name:SHERMAN, VINCENT ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:ANTHONY
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 HIGH TECH DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-8185
Mailing Address - Country:US
Mailing Address - Phone:512-863-8600
Mailing Address - Fax:512-863-8641
Practice Address - Street 1:602 HIGH TECH DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-8185
Practice Address - Country:US
Practice Address - Phone:512-863-8600
Practice Address - Fax:512-863-8641
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7653207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2290118OtherAETNA HMO
TX123526903Medicaid
TX4393421OtherAETNA PPO
TX10008668OtherAMERIGROUP
TX123867101OtherFIRSTCARE
TX3361599OtherBLUELINK
TX2949121001OtherCIGNA
TX123526903Medicaid
TX10008668OtherAMERIGROUP