Organization · Type 2 NPI
Anderson Cherokee Community Enrichment Services
General Practice Physician · Jacksonville, TX
NPI number
1114761996
Active
Practice location
597 S Ragsdale St
Jacksonville, TX 75766-2434
Fax (903) 586-9200
Mailing address
1011 College Ave
Jacksonville, TX 75766-3307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1114761996
Anderson Cherokee Community Enrichment Services's National Provider Identifier is 1114761996, issued on Jun 25, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jacksonville, TX. The record was last updated on Mar 10, 2026.