Provider Demographics
NPI:1144560806
Name:SHERWOOD, DORY (MD)
Entity type:Individual
Prefix:
First Name:DORY
Middle Name:
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 N MESA ST
Mailing Address - Street 2:237
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7101 N MESA ST
Practice Address - Street 2:237
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3613
Practice Address - Country:US
Practice Address - Phone:915-833-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9151207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease