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NPI Code Detail

MEDICARE: ALLAN M SHERMAN DPM PC

MEDICARE: ALLAN M SHERMAN DPM PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist513TX

General Provider Information

NPI Number : 1104819432
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLAN M SHERMAN DPM PC
Provider Business Mailing Address
First Line : 6310 LBJ FWY
Second Line : SUITE 117
City : DALLAS
State : TX
Zip : 75240-6401
Country : US
Telephone Number : 972-233-4351
Fax Number : 972-233-0359
Provider Business Practice Location Address
First Line : 6310 LBJ FWY
Second Line : SUITE 117
City : DALLAS
State : TX
Zip : 75240-6401
Country : US
Telephone Number : 972-233-4351
Fax Number : 972-233-0359
Authorized Official
Title or Position : PODIATRIST
Name : MR. ALLAN M SHERMAN
Credential : PODIATRIST
Telephone Number : 972-233-4351
Provider Enumeration Date : 08/23/2005
Last Update Date : 08/26/2011

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