MEDICARE: DR. CAREY SHARP LE MENER MD

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
1	207Q00000X	Family Medicine Physician	M2096	TX

General Provider Information

NPI Number	:	1407823230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAREY SHARP LE MENER MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7208
Country	:	US
Telephone Number	:	214-645-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 INWOOD RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-1858
Country	:	US
Telephone Number	:	214-645-8300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	10/25/2023

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