Healthcare Provider Details
I. General information
NPI: 1871968586
Provider Name (Legal Business Name): SHARMA HEALTH SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/07/2015
Last Update Date: 12/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9029 S PECOS RD STE 2800
HENDERSON NV
89074-7197
US
IV. Provider business mailing address
PO BOX 674074
DALLAS TX
75267-4074
US
V. Phone/Fax
- Phone: 214-396-3936
- Fax: 214-378-4664
- Phone: 214-396-3936
- Fax: 214-378-4664
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MISS
BRANDY
K
BARROW
Title or Position: CREDENTIALING CORRDINATOR
Credential:
Phone: 214-396-3936