Provider Demographics
NPI:1437022571
Name:SHERRY NUSSBAUM, M.D., P.A.
Entity type:Organization
Organization Name:SHERRY NUSSBAUM, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NUSSBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-861-2288
Mailing Address - Street 1:1008 N BOWEN RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2838
Mailing Address - Country:US
Mailing Address - Phone:817-861-2288
Mailing Address - Fax:817-460-1595
Practice Address - Street 1:1008 N BOWEN RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2838
Practice Address - Country:US
Practice Address - Phone:817-861-2288
Practice Address - Fax:817-460-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty