Provider Demographics
NPI:1306078340
Name:FOX, CHERRIE
Entity type:Individual
Prefix:
First Name:CHERRIE
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 GREEN ASPEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4578
Mailing Address - Country:US
Mailing Address - Phone:713-259-0559
Mailing Address - Fax:713-434-8544
Practice Address - Street 1:3403 GREEN ASPEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-4578
Practice Address - Country:US
Practice Address - Phone:713-259-0559
Practice Address - Fax:713-434-8544
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-09
Last Update Date:2009-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances