Provider Demographics
NPI:1689793580
Name:DODSON, CHERYL MAE (PA-C)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:MAE
Last Name:DODSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1354
Mailing Address - Street 2:
Mailing Address - City:RIO HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78583-1354
Mailing Address - Country:US
Mailing Address - Phone:956-330-9813
Mailing Address - Fax:
Practice Address - Street 1:29099 FM 106
Practice Address - Street 2:
Practice Address - City:RIO HONDO
Practice Address - State:TX
Practice Address - Zip Code:78583-0256
Practice Address - Country:US
Practice Address - Phone:956-748-2381
Practice Address - Fax:833-941-2322
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA0626207Q00000X
TXPA02626363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine