| Cherry Internal Medicine Clinic Of East Texas Pa | |
|
107 Medical Park Dr Lufkin TX 75904-3135 | |
| (936) 634-6333 | |
| (936) 634-6337 |
| Full Name | Cherry Internal Medicine Clinic Of East Texas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 107 Medical Park Dr, Lufkin, Texas |
| Authorized Official Name and Position | Mariyam Cherry (OWNER) |
| Authorized Official Contact | 9368995682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Internal Medicine Clinic Of East Texas Pa 107 Medical Park Dr Ste B Lufkin TX 75904-3135 Ph: (936) 899-5682 | Cherry Internal Medicine Clinic Of East Texas Pa 107 Medical Park Dr Lufkin TX 75904-3135 Ph: (936) 634-6333 |
| NPI Number | 1316563778 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 02/24/2025 |
| Medicare PECOS PAC ID | 3870910896 |
|---|---|
| Medicare Enrollment ID | O20200904000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316563778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mariyam Cherry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750726550 PECOS PAC ID: 1052608460 Enrollment ID: I20160929000407 |
Michael Hunt Huber Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 | |
Jerry L Spinks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 | |
Kevin W Farris M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave, Suite 301, Lufkin, TX 75904 Phone: 936-632-7606 Fax: 936-632-1574 | |
Lufkin Lifestyle And Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N 1st St, Lufkin, TX 75901 Phone: 369-632-2802 Fax: 369-286-3005 | |
Andrew J. Fercowicz, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-1005 Fax: 936-639-1006 | |
Varughese Puthenparampil Samuel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Ellis Ave, Lufkin, TX 75904 Phone: 936-637-2888 Fax: 936-634-2321 | |
Alexander Orlov Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Gaslight Blvd Ste A, Lufkin, TX 75904 Phone: 936-632-2468 Fax: 936-632-0794 |