Mrs. Cynthia Chernyakhovsky
Physician Assistant (Medical)

Address: 700 Walter Reed Blvd, Suite 311, Garland, TX 75042-3701
Phone: 9724876400

Mrs. Cynthia Chernyakhovsky (NPI# 1184712499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1184712499
Entity Type Individual
Full Name Mrs. Cynthia Chernyakhovsky
Credential P.A.C.
Gender Female
Practice Address 700 Walter Reed Blvd
Suite 311
Garland
TX 75042-3701
Practice Telephone 9724876400
Practice Fax Number 9724871686
Mailing Address 8022 Moss Meadows Dr
Dallas
TX 75231-3908
Mailing Telephone 2145539617
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-11
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers PA01701 TX

Other Provider Identifier

State Identifier Issuer Type Code
TX PA01701 OTHER STATE LICENSE NUMBER

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Office Location

Street Address 700 WALTER REED BLVD
SUITE 311
City GARLAND
State TX
Zip Code 75042-3701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205832326 William Daniel Nicholson IIi Surgery 700 Walter Reed Blvd, Ste 301, Garland, TX 75042-3716 2005-06-23
1982095329 Vascular Care of Texas, Pllc Surgery 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 2015-02-06
1447540976 Terry W. Sergison Physical Therapist 700 Walter Reed Blvd, Garland, TX 75042-3701 2011-04-18
1164673893 Safia Raza Internal Medicine 700 Walter Reed Blvd, Suite #204, Garland, TX 75042-3701 2008-09-30
1801056924 Hong B Dang Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 2008-06-12
1063687259 Srilakshmi Chavali Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 2008-04-28
1134306590 Vijayavalli Little Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-5743 2008-01-29
1952596900 Shilpa Gupta Internal Medicine 700 Walter Reed Blvd, Suite 204, Garland, TX 75042-3701 2007-09-12
1245442128 Sandra V. Moore Mdpa Surgery 700 Walter Reed Blvd, Suite 301, Garland, TX 75042-3701 2007-05-04
1174652184 Health Texas Provider Network Durable Medical Equipment & Medical Supplies 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 2007-03-05
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1043662034 Alicia Valdiviezo Physician Assistant 2046 Forest Ln Ste 130, Garland, TX 75042 2016-07-01
1053711184 Jamette Hickman Physical Therapist 705 Walter Reed Blvd Suite 100, Garland, TX 75042 2014-08-26
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1821424094 Angel Care Team Adult Companion 1801 Evelyn Dr., Garland, TX 75042 2013-09-19
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1003176959 Benedict Eric Homer Dentist 813 North Jupiter Rd., Garland, TX 75042 2012-05-25
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Competitor

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City GARLAND
Zip Code 75042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.