Provider Demographics
NPI:1043872526
Name:FRANCISCO, CHERYL LYNNE (LMT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNNE
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 RICHMOND AVE STE 432
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3115
Mailing Address - Country:US
Mailing Address - Phone:713-520-8702
Mailing Address - Fax:
Practice Address - Street 1:2990 RICHMOND AVE STE 432
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3115
Practice Address - Country:US
Practice Address - Phone:713-520-8702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT039253225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty